Metroprolol (Lorpressor, Toprol XL)

Question 1

Class

Answer 1

Beta adrenergic antagonist, antianginal, antihypertensive, class II

Question 2

Action

Answer 2

Inhibits the strength of the heart’s contractions, as well as heart rate. This results in a decrease in cardiac oxygen consumption

Question 3

Indications

Answer 3

ACS, hypertension, SVT, atrial flutter, AF, thyrotoxicosis

Question 4

Adverse Effects

Answer 4

Tiredness, dizziness, dairrhea, heart block, bradycardia, known sensitivity. Use caution in hypotension, chronic lung disease (ashtma & COPD)

Question 5

Adult Dosage (Cardiac Indications)

Answer 5

5 mg slow IV, IO over a 5-min period; repeat at 5 mins intervals up to a total of three infusions totaling 15 mg IV, IO

Question 6

Peds Dosage (Cardiac Indications)

Answer 6

Not recommended for pediatric patients; no studies available

Question 7

Special Considerations

Answer 7

Blood pressure, heart rate, and ECG should be monitored carefully.

Use with caution in patients with ashtma; Pregnancy class C