DRUG NAME CLASSIFICATION MECHANISM OF INDICATION CONTRAINDICATION ADVERSE NURSING

ACTION REACTION RESPONSIBILITIES

Generic Pharmacologic: Competitively blocks General: Drug hypersensitivity, Allergic: Before:

name: Beta1- selective beta- adrenergic >hypertension, sinus bradycardia, Laryngospasms >Check doctor’s order
Metoprolol adrenergic blocker receptors in the heart along with other greater than first- CNS: dizziness, >Review medication
and juxtoglomerular drugs, especially degree heart block, vertigo, tinnitus, record
Trade Name: Therapeutic: apparatus, decreasing diuretics cardiogenix shock, or fatigue, emotional >Record VS, esp. BP
Tropol XL Antihypertensive the influence of the >prevention of overt cardiac failure depression and HR
sympathetic nervous reinfarction of MI when used to treat Respiratory: >Note for dizziness,
Maximum Pregnancy system on these patients who are hypertension or angina. bronchospasm, fatigue, dyspnea
dose: Category Risk: C tissues and the hemodynamically When used to treat MI, dyspnea, pharyngitis > Determine
450mg PO excitability of the stable or within 3- contraindicated in CV: heart failure, hypersensitivity
heart, decreasing 10 days of the patients with heart rate cardiac arrhythmias During:
Minimum cardiac output and the acute MI of less than 45 bpm, Dermatologic: rash, >Introduce self to the
dose: release of renin, and >long-term greater than first- pruritus, sweating, client
50mg PO BID lowering blood management of degree heart block, dry skin > Confirm client’s
pressure; acts in the angina pectoris systolic blood pressure EENT: eye irritation, identity
Availability: CNS to reduce >treatment of less than 100 mm Hg, dry eyes, > Read drug label
Tablets: 25, sympathetic outflow stable, or moderate to severe conjunctivitis > Inform drug’s
50, 100 mg; and vasoconstrictor symptomatic heart cardiac failure. GI: gastric pain, therapeutic effect
ER tone. failure of ischemic, flatulence, > Inform pf side effects
Tablets: 25, hypertensive or Precautions: constipation, After:
100, 200mg; Onset: 15 min. cardiomyopathic Patients with heart diarrhea, nausea, >Evaluate therapeutic
injection- Peak: 90 min. origin failure, diabetes, vomiting response
1mg/ml Duration: varies respiratory or hepatic GU: impotence, >Watch for adverse
Metabolism: Hepatic; disease. decreased libido effects
Route: PO 3-4 hr. Musculoskeletal: joint >Tell pt. to inform
Distribution: crosses pain, muscle cramps prescriber if shortness
placenta, enters of breath occurs
breastmilk >Document and record
Excretion: Urine