metoprolol Flashcards

1
Q

What is the classification of metoprolol?

A

Metoprolol is a selective beta-1 adrenergic antagonist (beta-blocker).

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2
Q

What is the usual adult dosage of metoprolol for hypertension?

A

The usual starting dose is 50 mg once daily.

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3
Q

True or False: Metoprolol is primarily used to treat heart failure.

A

False. Metoprolol is primarily used to treat hypertension and angina.

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4
Q

What is the primary action of metoprolol in the body?

A

Metoprolol reduces heart rate and contractility, leading to decreased cardiac output.

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5
Q

Fill in the blank: Metoprolol is indicated for the treatment of _______.

A

hypertension, angina pectoris, and heart failure.

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6
Q

What are common adverse effects of metoprolol?

A

Common adverse effects include fatigue, dizziness, and bradycardia.

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7
Q

Which of the following is a serious adverse effect of metoprolol? A) Insomnia B) Heart block C) Nausea

A

B) Heart block

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8
Q

What should be monitored regularly in patients taking metoprolol?

A

Blood pressure and heart rate should be monitored regularly.

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9
Q

True or False: Metoprolol can interact with other medications such as calcium channel blockers.

A

True.

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10
Q

What is the interaction of metoprolol with NSAIDs?

A

NSAIDs may reduce the antihypertensive effect of metoprolol.

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11
Q

What consideration should be made for patients with asthma when prescribing metoprolol?

A

Metoprolol should be used with caution in patients with asthma due to potential bronchoconstriction.

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12
Q

What is the brand name of metoprolol?

A

Common brand names include Lopressor and Toprol-XL.

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13
Q

How should metoprolol be taken to maximize absorption?

A

Metoprolol should be taken with food.

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14
Q

Fill in the blank: Metoprolol is contraindicated in patients with _______.

A

severe bradycardia or heart block.

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15
Q

What is the maximum daily dose of metoprolol for hypertension?

A

The maximum daily dose can be up to 400 mg.

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16
Q

True or False: Abrupt discontinuation of metoprolol can lead to rebound hypertension.

17
Q

What type of beta-receptor does metoprolol primarily block?

A

Metoprolol primarily blocks beta-1 receptors.

18
Q

What is a common side effect of metoprolol related to the central nervous system?

A

Depression or mood changes can occur.

19
Q

When should metoprolol be used with caution?

A

It should be used with caution in patients with diabetes, as it may mask hypoglycemia symptoms.

20
Q

What is the pharmacological action of metoprolol on the heart?

A

It decreases the heart rate and myocardial oxygen demand.

21
Q

In what form is metoprolol available?

A

Metoprolol is available in oral tablets and extended-release formulations.

22
Q

What patient population may require dosage adjustment of metoprolol?

A

Patients with liver impairment may require dosage adjustment.

23
Q

What is an important consideration for dosing metoprolol in the elderly?

A

Elderly patients may have an increased sensitivity to the drug and may require lower doses.

24
Q

What is the mechanism of action of metoprolol in reducing blood pressure?

A

It blocks beta-1 adrenergic receptors, leading to reduced cardiac output and lower renin release.