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NURS 1556 Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency


Metoprolol Lopressor B-blocker, anti- 50mg po q bid
anginal, anti-
hypertensive
Peak Onset Duration For IV meds, compatibility with IV drips and /or
Unknown 15 min. 6-12 hrs. solutions

Mechanism of action and indications (Why med ordered) Nursing Implications (what to focus on) monitor VS
Blocks stimulation of beta (myocardial) adrenergic Contraindications/warnings/interactions – CHF,
receptors. Doesn’t affect B2 sites. Slows down heart. pulmonary adema, cardiogenic shock, bradycardia, heart
block
Common side effects – fatigue, weakness, ED

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine – Inc. BUN,
medicines (ask patient specifically) – general anesthesia, serum lipo protein, K, triglyceride, Uric acid levels, Inc.
antihypertensives, amphetamines, cocaine, ephedrine, ANA titers, Inc. Blood gluclose, Inc. serum alkaline
norepinephrine, pseudo phenylephrine, insulin, phosphatase, LDH, AST, ALT levels
dopamine, MAO inhibitor Be sure to teach the patient the following about this
medication – take meds as directed, how to check pulse,
drowsiness, change position slowly

Nursing Process- Assessment Assessment Why would you hold or Evaluation Check after
(Pre-administration assessment) – BP, ECG, not give this med? – BP less than 50 giving
pulse, I & O, daily weights, monitor for CHF bpm, arrhythmia/ with meals or after Lower BP, less anginal
eating attacks, increase in activity,
prevention of MI

Contraind: Geri – increased sensitivity to B blockers; initial dose reduction


recommended, pulmonary disease; diabetes; thyrotoxicosis, allergic reactions

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