Drug Study: PROPRANOLOL

Name of Classification Indications Side Effects Nursing

the Drug Implications
Beta-adrenergic Management of cardiac Frequent: Diminished
Propranolol blockers(non- arrhythmias, myocardial sexual function, - Monitor vital signs,
selective), infarction, drowsiness, difficulty ECG, and central
antianginal, tachyarrhythmias sleeping, unusual venous pressure.
antiarrhythmic, associated with digitalis fatigue/ weakness
antihypertensive intoxication, anesthesia, Occasional: - Assess fluid
thyrotoxicosis, Bradycardia, balance. Check for
hypertrophic subaortic depression, signs and symptoms
stenosis, angina sensation of of heart failure.
pectoris due to coldness in
coronary extremities, diarrhea, - Monitor CBC and
atherosclerosis, constipation, anxiety, liver and thyroid
pheochromocytoma, nasal congestion, function tests.
Mechanism of hereditary essential nausea, vomiting
Action tremor; also, treatment Rare: altered taste, - Watch loosely for
Dosage of hypertension alone, dry eyes, pruritus, signs and symptoms
Competitively but generally with a paresthesia of hypoglycemia,
40 mg / tab blocks-beta thiazide or other which drug may
adrenergic receptors antihypertensives. mask.
B.I.D, PO in the heart and
juxtaglomerular Adverse Effects -Monitor blood
apparatus, glucose level in
decreasing the Contraindications Overdose may diabetic patients, to
influence of the produce profound identify need for
sympathetic nervous a. Allergy to beta- bradycardia, altered insulin or
system on these blocking agents hypotension. Abrupt oral hypoglycemic
tissues, the withdrawal may dosage. Be aware
excitability of the R: It may induce allergic result in diaphoresis, that in labile
heart, cardiac reactions palpitation, diabetes,
workload and headache, hypoglycemia may
oxygen b. Sinus bradycardia tremulousness may be accompanied by
consumption, and precipitate HF, MI in steep blood
the release of rennin R: it may further pts with cardiac pressure rise
and lowering BP; contribute to decreased disease, thyroid
has membrane- heart rate of the client storm in pts with
stabilizing (local thyrotoxicosis,
anesthetic) effects c. Pregnancy peripheral ischemia
that contribute to its in patients with
antiarrhythmic R: It may cause existing peripheral
action; acts in the neonatal bradycardia vascular disease.
CNS to reduce Hypoglycemia may
sympathetic outflow d. Apnea occur in patients with
and vasoconstrictor previously controlled
tone. R: It may further cause diabetes
relaxation of the
respiratory muscles,
thus inhibiting
respiration.