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    Lopressor (Metoprolol) 100mg

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    Adrianne Bazo
    This document provides information about the medication metoprolol (Lopressor) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes the patient's indication for receiving this medication as hypertension and decreased blood pressure and heart rate for prevention of MI and decreased mortality in recent MI patients. The key nursing implications are monitoring for bradycardia and hypotension, educating the patient about safe administration and reporting side effects, and evaluating treatment response through decreased blood pressure, reduced angina attacks, and increased activity tolerance.

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    Lopressor (Metoprolol) 100mg

    Uploaded by

    Adrianne Bazo
    7K views2 pages
    This document provides information about the medication metoprolol (Lopressor) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes the patient's indication for receiving this medication as hypertension and decreased blood pressure and heart rate for prevention of MI and decreased mortality in recent MI patients. The key nursing implications are monitoring for bradycardia and hypotension, educating the patient about safe administration and reporting side effects, and evaluating treatment response through decreased blood pressure, reduced angina attacks, and increased activity tolerance.

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    Lopressor (Metoprolol)100mg

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    This document provides information about the medication metoprolol (Lopressor) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes the patient's indication for receiving this medication as hypertension and decreased blood pressure and heart rate for prevention of MI and decreased mortality in recent MI patients. The key nursing implications are monitoring for bradycardia and hypotension, educating the patient about safe administration and reporting side effects, and evaluating treatment response through decreased blood pressure, reduced angina attacks, and increased activity tolerance.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    7K views2 pages

    Lopressor (Metoprolol) 100mg

    Uploaded by

    Adrianne Bazo
    This document provides information about the medication metoprolol (Lopressor) including its classification, dose, route of administration, time/frequency, peak onset and duration. It describes the patient's indication for receiving this medication as hypertension and decreased blood pressure and heart rate for prevention of MI and decreased mortality in recent MI patients. The key nursing implications are monitoring for bradycardia and hypotension, educating the patient about safe administration and reporting side effects, and evaluating treatment response through decreased blood pressure, reduced angina attacks, and increased activity tolerance.

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    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    NURS 1566 Clinical Form 3: Clinical Medications Worksheets

    (You will need to make additional copies of these forms)

    Generic Name Trade Name Classification Dose Route Time/frequency


    metoprolol Lopressor antianginals, 100 mg po BID
    antihypertensives
    Peak Onset Duration Normal dosage range
    unknown 15 min 6-12 hr 25-100mg/day as a single dose initially or 2 divided doses;
    may be increased q 7 days as needed up to 450mg/day (for
    angina give in divided doses).
    Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
    Hypertension. Decreased blood pressure and heart solutions
    rate. Prevention of MI and decreased mortality in patients N/A
    with recent MI
    Mechanism of action and indications Nursing Implications (what to focus on)
    (Why med ordered) Contraindications/warnings/interactions
    Blocks stimulation of beta1(myocardial)-adrenergic Geriatric patients (increased sensitivity to beta blockers;
    receptors. Does not usually affect beta2(pulmonary, initial dosage reduction recommended)
    vascular, uterine)-adrenergic receptor sites. Thyrotoxicosis (may mask symptoms)
    Common side effects
    fatigue, weakness, impotence, anxiety, depression,
    dizziness, drowsiness, insomnia, memory loss, mental
    status changes, nervousness, nightmares, hypotension,
    peripheral vasoconstriction, BRADYCARDIA, CHF,
    PULMONARY EDEMA
    Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
    herbal medicines (ask patient specifically) May cause ↑ BUN, serum lipoprotein, potassium, triglyceride, and uric
    None for this patient 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
    Instruct patient to take medication as directed, at the same time each day, even
    if feeling well; do not skip or double up on missed doses. Take missed doses as
    soon as possible up to 8 hr before next dose. Abrupt withdrawal may
    precipitate life-threatening arrhythmias, hypertension, or myocardial ischemia
    Advise patient to change positions slowly to minimize orthostatic hypotension.
    Teach patient and family how to check pulse daily and blood pressure biweekly
    and to report significant changes to health care professional. Caution patient
    that this medication may increase sensitivity to cold. Instruct patient to consult
    health care professional before taking any OTC medications or herbal products,
    especially cold preparations, concurrently with this medication. Patients on
    antihypertensive therapy should also avoid excessive amounts of caffeinated
    coffee, tea, and cola. Advise patient to 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. Reinforce the need to continue additional therapies for
    hypertension (weight loss, sodium restriction, stress reduction, regular exercise,
    moderation of alcohol consumption, and smoking cessation). Medication
    controls but does not cure hypertension
    Medication does not block sweating as a sign of hypoglycemia
    Nursing Process- Assessment Assessment Evaluation
    (Pre-administration assessment) Why would you hold or not give this Check after giving
    med? Decrease in blood pressure
    Take apical pulse before Monitor intake and output ratios and daily Reduction in frequency of
    administering. If <50 bpm or if weights. Assess routinely for signs and anginal attacks
    arrhythmia occurs, withhold
    medication and notify physician or
    symptoms of CHF (dyspnea, Increase in activity tolerance
    other health care professional rales/crackles, weight gain, peripheral Prevention of MI
    Monitor blood pressure, ECG, edema, jugular venous distention),
    and pulse frequently during dose notify health care professional if slow
    adjustment and periodically pulse, difficulty breathing, wheezing, cold
    during therapy. Monitor frequency hands and feet, dizziness, light-
    of prescription refills to determine headedness, confusion, depression, rash,
    compliance 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

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