What are nursing implications for metoprolol?
Nursing Considerations for Metoprolol Instruct the patient that extended-release tablets should be swallowed whole and not be crushed, chewed, or cut, unless the tablet is scored. Abrupt withdrawal of the drug may cause myocardial infarction, ventricular dysrhythmias, and ischemia.
What are nursing considerations for beta blockers?
Nursing considerations Beta blockers can cause transient increases in serum lipid and glucose levels. Because beta blockers inhibit the sympathetic nervous system response, they also hide the symptoms of hypoglycemia and can be dangerous in patients with diabetes who use insulin.
What should a nurse assess before giving metoprolol?
a. Before administering metoprolol, the nurse should always assess the patient’s blood pressure and pulse.
What should I check before administering metoprolol?
Your blood pressure should be checked regularly to determine your response to metoprolol. Your doctor may ask you to check your pulse (heart rate). Ask your pharmacist or doctor to teach you how to take your pulse.
What are side effects of Lopressor?
Drowsiness, dizziness, tiredness, diarrhea, and slow heartbeat may occur. Decreased sexual ability has been reported rarely. If any of these effects persist or worsen, tell your doctor or pharmacist promptly.
When should a nurse hold metoprolol?
Most orders for metoprolol will have a hold parameter, meaning you’ll hold the medication if the heart rate is below 50 to 60 or the systolic blood pressure is below 90 or 100 (depends on the patient and MD’s orders).
What are the nursing implications for propranolol?
Assess heart rate, ECG, and heart sounds, especially during exercise (See Appendices G, H). Report immediately an unusually slow heart rate (bradycardia) or signs of other arrhythmias, including palpitations, chest discomfort, shortness of breath, fainting, and fatigue/weakness.
When should a nurse withhold metoprolol?
If <50 bpm or if arrhythmia occurs, withhold medication and notify health care professional. Administer metoprolol with meals or directly after eating. DNC: Extended-release tablets may be broken in half; do not crush or chew.
When should nurse hold metoprolol?
What is metoprolol used for and side effects?
Metoprolol is used with or without other medications to treat high blood pressure (hypertension). Lowering high blood pressure helps prevent strokes, heart attacks, and kidney problems. This medication is also used to treat chest pain (angina) and to improve survival after a heart attack.
What are the key nursing implementation considerations for patients receiving an adrenergic agent?
These are vital nursing interventions done in patients who are taking alpha-agonists:
- Do not discontinue abruptly to prevent rebound hypertension.
- Monitor blood pressure, orthostatic blood pressure, pulse, rhythm, and cardiac output regularly to adjust dose or discontinue the drug of CV effects are severe.
What are nursing implications for acetaminophen?
Nursing Implications 1. Acetaminophen is intended for temporary use only – should not be given for more than 4 – 5 days without physician reassessment. 2. Severe hepatic damage is sometimes not apparent until several days after overdosage.
What is the most common side effect of metoprolol?
The most common (>2%) adverse reactions are tiredness, dizziness, depression, diarrhea, shortness of breath, bradycardia, and rash.
What metoprolol is used for?
Metoprolol is used alone or together with other medicines to treat high blood pressure (hypertension). High blood pressure adds to the workload of the heart and arteries. If it continues for a long time, the heart and arteries may not function properly.
What is an important nursing interventions for patients receiving an alpha adrenergic?
These are vital nursing interventions done in patients who are taking alpha-agonists: Do not discontinue abruptly to prevent rebound hypertension. Monitor blood pressure, orthostatic blood pressure, pulse, rhythm, and cardiac output regularly to adjust dose or discontinue the drug of CV effects are severe.