TOLENTINO, CYRILL ALEXANDRIA G.

BSN2B

Assignment 4. Write a Drug Study of a patient taking Atenolol 50 mg PO OD x 1 week, then 100 mg PO onwards. Health history reveals smoking 8 cigarette sticks for a day and has sedentary
lifestyle.

Generic Name:   Nursing Responsibilities

Atenolol Action Rationale
Brand Name:  To know what to administer and what care to provide the patient
1. Check doctor’s order
Tenormin
Dose/ Route/Frequency:

50 mg/day PO; 100 mg/day PO onwards 2. Observe the rights in medication administration of drug to the To avoid improperly drug administration
patient.
Mechanism of Action:
Adverse reactions and tolerance might occur
Blocks response to beta-adrenergic stimulation; 3. Administer the drug correctly
cardio selective for beta1 receptors at low doses,
with little or no effect on beta2 receptors

Physiologic classification: 4. Monitor for side effects Dizziness, lightheadedness, tiredness, and nausea may occur
Blocks beta-adrenergic receptors of the
sympathetic nervous system in the heart and 5. Monitor blood pressure both lying and standing To monitor for orthostatic hypotension
juxtaglomerular apparatus (kidney), thus
decreasing the excitability of the heart, decreasing
cardiac output and oxygen consumption,
decreasing the release of renin from the kidney,
and lowering BP.

Pharmacologic Classification:
6. Observe for changes in heart rate Medication can mask tachycardia that occurs with hypoglycemia
Beta blocker
Decreasing sympathetic activity may cause decrease in sexual desire or
7. Observe for changes in mood
Desired Effect:   ability and depression or exacerbate pre-existing conditions
 To avoid toxicity and drug tolerance
Atenolol should not be stopped abruptly - doing
so may result in exacerbation of angina, acute
myocardial infarction, or ventricular arrhythmias. 8. Administer the right dose at the right time
Administering atenolol concurrently with
amiodarone, digoxin, or verapamil may cause
heart block, bradycardia, and left ventricular
dysfunction.
Indication/s:

Treatment of angina pectoris due to coronary 9. Teach the patient the safety precautions and drinking lots of To maintain nutrition even though nausea may occur
atherosclerosis. Hypertension, as a step 1 agent, fluids
alone or with other drugs, especially diuretics.
Treatment of MI. Unlabeled uses: Prevention of
migraine headaches; alcohol withdrawal
syndrome, treatment of ventricular and
supraventricular arrhythmias To avoid ethical issues and baseline data

Contraindication/s: 

Contraindicated with sinus bradycardia, second- 10. Document and record

or third-degree heart block, cardiogenic shock,
CHF, pregnancy. Use cautiously with renal
failure, diabetes or thyrotoxicosis (atenolol can
mask the usual cardiac signs of hypoglycemia and
thyrotoxicosis), lactation, respiratory disease.

                                          Side Effects: Dizziness, lightheadedness, tiredness, and nausea may occur

                                        Adverse Effects:  Decreased exercise tolerance, development of antinuclear antibodies, hyperglycemia or hypoglycemia, elevated serum transaminase, alkaline
phosphatase, and LDH