Scribd Logo
Upload

Welcome to Scribd!

  • 2K views

    Lopressor (Metoprolol) IV

    Uploaded by

    Adrianne Bazo
    This document provides information about the medication metoprolol (Lopressor), including its classification, dose, route of administration, time/frequency, peak effect, onset, duration, and normal dosage range. It notes the patient is getting this medication for hypertension. Nursing implications include monitoring for side effects like fatigue and weakness. The medication works by blocking beta1 receptors in the heart and does not usually affect beta2 receptors. Lab values may be altered and the patient should be advised on safely changing positions due to risk of hypotension.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd

    Lopressor (Metoprolol) IV

    Uploaded by

    Adrianne Bazo
    2K views2 pages
    This document provides information about the medication metoprolol (Lopressor), including its classification, dose, route of administration, time/frequency, peak effect, onset, duration, and normal dosage range. It notes the patient is getting this medication for hypertension. Nursing implications include monitoring for side effects like fatigue and weakness. The medication works by blocking beta1 receptors in the heart and does not usually affect beta2 receptors. Lab values may be altered and the patient should be advised on safely changing positions due to risk of hypotension.

    Original Title

    Lopressor (Metoprolol)IV

    Copyright

    © Attribution Non-Commercial (BY-NC)

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document provides information about the medication metoprolol (Lopressor), including its classification, dose, route of administration, time/frequency, peak effect, onset, duration, and normal dosage range. It notes the patient is getting this medication for hypertension. Nursing implications include monitoring for side effects like fatigue and weakness. The medication works by blocking beta1 receptors in the heart and does not usually affect beta2 receptors. Lab values may be altered and the patient should be advised on safely changing positions due to risk of hypotension.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    2K views2 pages

    Lopressor (Metoprolol) IV

    Uploaded by

    Adrianne Bazo
    This document provides information about the medication metoprolol (Lopressor), including its classification, dose, route of administration, time/frequency, peak effect, onset, duration, and normal dosage range. It notes the patient is getting this medication for hypertension. Nursing implications include monitoring for side effects like fatigue and weakness. The medication works by blocking beta1 receptors in the heart and does not usually affect beta2 receptors. Lab values may be altered and the patient should be advised on safely changing positions due to risk of hypotension.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Adrianne Bazo

    October 21, 2008

    Clinical Medications Worksheet


    Generic Name Trade Name Classification Dose Route Time/frequency
    metoprolol Lopressor antianginals, 5 mg IV Q 6 hr PRN
    antihypertensives
    Peak Onset Duration Normal dosage range
    20 min immediate 5-8 hr MI--5 mg q 2 min for 3 doses, followed by oral dosing
    Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
    Hypertension solutions
    Systolic BP over 140 or diastolic BP over 100 May be administered by injecting 5 mg rapidly at 2-min
    intervals for 3 doses
    Decreased blood pressure and heart rate. No fluid incompatibilities for this pt
    Mechanism of action and indications Nursing Implications (what to focus on)
    (Why med ordered) Contraindications/warnings/interactions
    Blocks stimulation of beta1(myocardial)- Geriatric patients (increased sensitivity to beta
    adrenergic receptors. Does not usually affect blockers; initial dosage reduction recommended)
    beta2(pulmonary, vascular, uterine)-adrenergic Common side effects
    receptor sites fatigue, weakness

    Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
    herbal medicines (ask patient specifically) May cause ↑ BUN, serum lipoprotein, potassium,
    None for this patient triglyceride, and uric acid levels
    May cause ↑ ANA titers, May cause ↑ in blood glucose
    levels, May cause ↑ serum alkaline phosphatase, LDH,
    AST, and ALT levels
    Be sure to teach the patient the following about this
    medication
    Advise patient to change positions slowly to minimize
    orthostatic hypotension
    Nursing Process- Assessment Assessment Evaluation
    (Pre-administration Why would you hold or not give this Check after giving
    assessment) med?
    Monitor blood pressure, ECG, Monitor intake and output ratios and daily Decrease in blood pressure
    and pulse frequently weights. Assess routinely for signs and
    symptoms of CHF (dyspnea, rales/crackles, Prevention of MI
    weight gain, peripheral edema, jugular venous
    distention),
    notify health care professional if slow pulse,
    difficulty breathing, wheezing, cold hands and
    feet, dizziness, light-headedness, confusion,
    depression, rash, fever, sore throat, unusual
    bleeding, or bruising occurs, If <50 bpm or if
    arrhythmia occurs, withhold medication and
    notify physician or other health care
    professional
    Adrianne Bazo
    October 21, 2008

    You might also like