Lopressor

Question 1

Generic name

Answer 1

Metoprolol

Question 2

Generic name

Answer 2

Metoprolol

Question 3

Class

Answer 3

Antihypertensive/Beta blocker

Question 4

Class

Answer 4

Antihypertensive/Beta blocker

Question 5

Action

Answer 5

Blocks stimulation of beta¹ receptors

Question 6

Adverse Reactions/SE

Answer 6

Bradycardia, heart failure, pulmonary edema, hypotension, fatigue, weakness

Question 7

Contradictions/Precautions

Answer 7

heart failure, pulmonary edema, cardiogenic shock, bradycardia, or heart block

Question 8

Interactions

Answer 8

Digoxin- increased risk of bradycardia furosemide- decreased BP

Question 9

Evaluation/ Desired Outcome

Answer 9

Decrease in BP, increase in activity tolerance

Question 10

Route/Dosage

Answer 10

PO: 12.5 - 100 mg/ day. Maximum dose of 450mg/day. May be once a day or twice a day dosing.

Question 11

Nursing implementations/implications

Answer 11

Monitor BP, ECG, and pulse; Monitor I & O and daily weight; and watch for signs of heart failure such as dyspnea, crackles, weight gain, or edema. Withhold medication if HR is less than 50

Question 12

Family/Patient teaching

Answer 12

Do not abruptly withdraw the medication. Instruct patient and family how to take pulse and BP. Change positions slowly to minimize orthostatic hypotension. Call MD if a slow pulse, difficulty breathing, wheezing, dizziness, confusion rash, fever, or unusual bleeding occurs.