NURS 1566 Clinical Medication Worksheet Generic Name Trade Name Metoprolol Lopressor Peak Onset 20 min.

Immediate Classification Dose Route Time/frequency Beta Blocker 7.5 mg IV Q 6 hr Duration Normal Dosage Range 5-8 hr 5 mg Q 2 min for 3 doses, followed by oral dosing For IV meds, compatibility with IV drips and /or solutions None noted Nursing Implications (what to focus on) Contraindications/warnings/interactions Use cautiously in Geri patients because of increased sensitivity to Beta Blockers Common side effects: CNS: Fatigue, weakness, anxiety, depression EENT: Blurred vision, stuffy nose Resp: Bronchospasm, wheezing CV: Bradycardia, CHF, Pulmonary Edema GI: constipation, diarrhea, drug induced hepatitis Derm: Rashes Endo: hyperglycemia, hypoglycemia MS: arthralgia Lab value alterations caused by medicine: May increase BUN, serum lipoprotein, potassium, triglyceride, and uric acid levels, ANA titers, Blood glucose, liver functions. Be sure to teach the patient the following about this medication: May cause drowsiness, change positions slowly. Avoid excessive caffeine. Nursing Process- Assessment (Pre-administration) Monitor BP, ECG, and pulse. Monitor I and O ratios and daily weights Assessment Why would you hold or not give this med? If heart rate less than 60 if signs of CHF(rales/crackles, dyspnea, weight gain, peripheral edema) Evaluation Check after giving Monitor VS every 5-15 min during and for several hours after administration. Monitor for S/S of CHF.

Why is your patient getting this medication: May be used for Hypertension, angina, and prevention of MI, Heart failure Mechanism of action and indications: Blocks stimulation of Beta 1 – adrenergic receptors, decreases BP and HR

Interactions with other patient drugs, OTC or herbal medicines (ask patient specifically): No known drug interactions

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