beta blockers- atenolol (ternormin) metoproplol (lopressor) Flashcards

1
Q

another name for beta blocker atenolol

A

ternormin

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2
Q

another name for beta blocker metoproplol

A

lopressor

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3
Q

what are some of the conditions that beta blockers treat

A

hypertension
angina pectorsis
decrease mortality following MI
cardiac dysrhythmias
heart failure

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4
Q

beta blockers decrease mortality following what condition

A

MI( myocardial infarction)

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5
Q

adverse drug reactions to beta blockers

A

bradycardia
shortness of breath, edema, coughing at night
rebound excitation

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6
Q

what causes the adverse drug reaction bradycardia when on beta blocker

A

due to blockade of beta 1 receptors

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7
Q

adverse reaction of beta blockers (rebound excitation) causes what in patients

A

causing angina pain or MI with sudden withdrawal

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8
Q

what should be monitored when on beta blockers

A

heart rate

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9
Q

at what HR would you report when on beta blockers

A

slower than 60 beats/min

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10
Q

should you stop a beta blocker abruptly

A

no

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11
Q

on discontinuation of beta blockers how should you taper the dose

A

taper dose slowly over 1-2 weeks

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12
Q

what type of pill is metoprolol available as

A

intermediate release tablet lopressor)
or in sustained release dose (toprol XL)

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13
Q

should lepressor and toprol XL be crushed

A

no; swallowed whole

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14
Q

what would you instruct the client on if they were taking beta blockers

A

check pulse rate daily before taking drugs and report to provider for pulse slower than 60 beats per min

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15
Q

what are the contraindications for beta blockers

A

sinus bradycardia or greater than 1st degree heart block
cardiogenic shock

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16
Q

when shouldn’t atenolol be given

A

peripheral vascular disease; raynaud’s disease

17
Q

what age group of children should not receive metroprolol

A

children younger than 6 yrs of age

18
Q

precautions for beta blockers

A

clients with HF controlled by digitalis and diuretics
diabetes mellitus

19
Q

interactions with beta blockers

A

digoxin has an additive effect
beta blockers with oral hypoglycemic agents

20
Q

clients on beta blockers with oral hypoglycemic agents be at an increased risk for what condition

A

hypoglycemia