Alpha- & Beta-Adrenergic Blocking agents

Question 1

alpha- & beta-adrenergic blocking agent names

Answer 1

-olols
-carvedilol

Question 2

carvedilol actions

Answer 2

-lower blood pressure
-slower pulse
-increased renal perfusion with decreased renin levels (vasodilation, loss of sodium & water)

Question 3

carvedilol indications

Answer 3

HTN, heart failure

Question 4

labetalol indications

Answer 4

-HTN
-pheochromocytoma
-clonidine withdrawal

Question 5

carvedilol/labetalol contraindications

Answer 5

-bradycardia or heart failure
-shock or heart failure
-careful with diabetes
-careful with digoxin & CCBs

Question 6

carvedilol/labetalol use with caution

Answer 6

-bronchospasm
-diabetes
-pregnancy

Question 7

carvedilol/labetalol adverse reactions

Answer 7

similar to those of beta blockers

Question 8

carvedilol/labetalol drug to drug interactions

Answer 8

-diabetic agents
-calcium channel blockers
-digoxin

Question 9

carvedilol/labetalol
assessment/teaching

Answer 9

-monitor for CHF signs (weight gain, SOB, edema)
-slow position changes to prevent orthostasis
-monitor blood sugars
-follow DM regimen
-apical pulse 1 minute