Antianginals - Beta Blockers Flashcards
Antianginals - Beta Blockers
Drug Names
“-olol”
Atenolol
Metoprolol*
Propranolol
Nadolol
Antianginals - Beta Blockers
Action
Blocks beta adrenergic receptors in heart and kidneys to decrease SNS, CO, and release of renin
Antianginals - Beta Blockers
Indications
Stable angina pectoris
hypotension
stable CHF
prevents reinfarction in MI pts
Antianginals - Beta Blockers
Contraindications and cautions
CI: bradycardia, heart block, cardiogenic shock, asthma, COPD, P & L
Cautions: DM, PVD, thyrotoxicosis
Antianginals - Beta Blockers
Adverse Effects
Dizzy, fatigue, depression, N/V, colitis, CHF, arrhythmias, bronchospasm, dyspnea, cough
Antianginals - Beta Blockers
Nursing Considerations
Decreased CO Monitor pulse, BP, RR Do not stop abruptly Taper over 2 wks Monitor for loss of libido or impotence
Antianginals - Beta Blockers
DDI
Clonidine- HTN
NSAIDs-Decreased effects