Exam 3
Question:
What type of medication is metoprolol?
Answer:
Beta Blocker
Question:
What are the contraindications for metoprolol?
Answer:
heart block, heart failure, bradycardia, hypotension, cardiogenic shock
Question:
What are the nursing interventions for metoprolol?
Answer:
baseline vitals, liver and renal function, AST, LDH, patient teaching
,Question:
What is the patient teaching for metoprolol?
Answer:
do not abruptly stop therapy d/t rebound hypertension, avoid OTC meds
until you consult with a provider, medic alert band, how to take a pulse and
blood pressure, rise slowly to avoid orthostatic hypotension, low sodium
diet, limit alcohol and have Glucagon on hand to reverse effects
Question:
What are the side effects of metoprolol?
Answer:
fatigue, weakness, dizziness, dry mouth, nausea, vomiting, diarrhea,
insomnia, nightmares, drowsiness, headache, blurred vision, peripheral
edema and tinnitus
Question:
What are the adverse effects of metoprolol?
Answer:
bradycardia, hypotension, stroke, thrombocytopenia, diabetes mellitus,
bronchospasm, agranulocytosis
, Question:
Why do we give prazosin hcl?
Answer:
control hypertension
Question:
What is the productive positive effect of prazosin hcl?
Answer:
decrease blood pressure to a normal range of < 120/80 mmHg
Question:
What patient teaching is needed for ACE inhibitors?
Answer:
do not abruptly discontinue, do not take OTC meds without first consulting
a provider, no salt substitutes, slow to rise due to orthostatic hypotension,
how to take blood pressure
Question:
What cultural considerations are there for ACE inhibitors?
Answer:
not to be used during pregnancy, elderly and African Americans respond
poorly to this drug classification