Bellin College Medication Flow Sheet

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Student: Amanda Coad

Classification Generic / Trade Name Generic name: metaprolol Trade name: Toprol Action & Reason this Client Taking Action: Beta blocker used to help reduce the work load of the heart Reason taking: To help lower blood pressure, help treat agina and to prevent MI Dose (usual /prescribed) & Route, Onset, Peak, Duration Dose: one 25 mg tablet daily at 0800 Route: Oral Onset:15min Peak: 1hr Duration: 6-12 hours

Room #: 212
Side & Toxic Effects Client Response

Date: 3/29/12
Nursing Considerations and Teaching

Side effects: CNS-Fatigue, weakness, anxiety, depression, dizziness, drowsiness, insomnia, memory loss, metal status changes, nervousness, nightmares. CV: orthostatic hypotension, peripheral vasoconstriction, bradycardia, heart failure, pulmonary edema. Blurred vision, stuffy nose GI: nausea, vomiting, constipation, diarrhea, flatulence, gastric pain, heartburn, dry moth. Metabolic-hyperglycemia, hypoglycemia Respiratory- Wheezing, bronchospasm Musculoskeletal- joint pain, back pain Skin-rash

Nursing considerations: Through cardio assessment. Making sure that medicine is not stopped suddenly after long term therapy. Renal and thyroid function tests. Medicine should be given with food. Patient teaching: Medicine has to be taken whole and shouldnt be crushed. This medication should not be stopped suddenly. Watch for side effects such as dizziness, drowsiness, light-headedness, blurred vision, sexual incompetence. Report difficulty breathing, night cough, swelling of extremities, slow pulse, confusion or depression.

Bellin College Medication Flow Sheet

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