Name of Dosage, Mech.

of Indication Adverse Nursing

Drug Route, Action Reactions Responsibilitie
Freq., s
Timing
Generic: Dosage: Lowers Metoprolol is CV: CHF,  Do not
metoprolol 12.5 mg B/P by b- indicated for the cardiac arrest, discontinue
(Rx) (1 tab ) blocking treatment AV block, drug
effects; of angina, heart bradycardia, abruptly
Brand: reduces failure, pulmonary/peri after long-
Lopressor, Route: elevated myocardial pheral edema. term
Nu-Metop , Oral therapy
renin infarction, atrial
Toprol-XL HEMA: (hypersensi
plasma fibrillation, Agranulocytosis tivity to
Freque levels; atrial flutter and , eosinophilia, catecholam
ncy: blocks b2- hypertension. thrombocytopen ines may
daily adrenergic ic purpura. have
receptors developed,
in RESP: causing
Timing: bronchial, Bronchospasm exacerbatio
Every vascular n of angina,
Classification 24 smooth Contraindicatio Side Effects: MI, and
: hours ns: ventricular
muscle
Functional: only at Hypersensitivity  tiredness. arrhythmia
to b-blockers,  dizziness s). Taper
high
Antihyperte cardiogenic . drug
nsive, doses,
shock, heart gradually
antianginal negative  diarrhea. over 2 wk
chronotpic block (2nd and
 constipat with
effect. 3rd degree),
ion. monitoring.
Chemical: sinus
 breathing  Ensure that
It bradycardia,
b1- problems patient
Competiti pheochromocyt
Adrenergic such as swallows
vely bocks oma, sick sinus
blocker shortness the ER
beta- syndrome tablets
of breath,
adrenergic whole; do
Precautions: cough,
receptors and not cut,
in the Pregnancy C,
wheezin crush, or
heart and breastfeeding, chew.
g.
juxtaglomr geriatric, major Toprol XL
surgery,  bradycar
ular tablets may
diabetes dia (heart
apparatus, be divided
rate
decreasing mellitus, at the score;
that's
the thyroid/renal/h divided
slower
epatic disease, tablets
influence than
COPD, CAD, should be
of the normal)
non-allergic swallowed
sympathet  reduced whole, not
ic nervous bronchospasm,
interest crushed or
system on CHF, bronchial
these tissues asthma,CVA, in sex. chewed.
and the children,  rash.  Give oral
excitability depression, drug with
of the heart, vasospastic food to
decreasing angina facilitate
cardiac absorption.
 Provide
output and
continual
the release
cardiac
of renin, and monitoring
lowering BP. for patients
receiving
metoprolol.

Teaching points

 Do not stop
taking this
drug unless
instructed to
do so by your
health care
provider.
 Swallow the
extended-
release
tablets
whole;do not
cut, crush, or
chew. If
using ER
tablets,you
can divide
the tablets at
the score;
divided
tablets must
be swallowed
whole, not
crushed or
chewed.
 You may
experience
these side
effects:Dizzin
ess,
drowsiness,
light-
 headedness,
blurred
vision (avoid
driving or
dangerous
activities);
nausea, loss
of appetite
(eat frequent
small meals);
nightmares,
depression
(discuss
change of
medication);
sexual
impotence.
 Report
difficulty
breathing,
night cough,
swelling of
extremities,
slow pulse,
confusion,
depression,
rash, fever,
sore throat.
Source:

Skidmore-Roth, Linda. (11th Edition). Mosby's drug guide for nurses. Elsevier publisher.