propranolol Flashcards
1
Q
class
A
- beta blocker
- Class II antiarrhythmics
- antianginal
- antihypertensive
- vascular HA suppressant
2
Q
trade name
A
Inderal
3
Q
routes
A
PO, IV
4
Q
other Class II antiarrhythmics
A
- esmolol (Brevibloc)
- acebutolol (Sectral)
5
Q
action
A
- ↓ HR
- ↓ rate of conduction through SA node
- ↓ atrial ectopic stim
6
Q
use
A
- a-fib
- atrial flutter
- paroxysmal SVT
- HTN
- angina
7
Q
complications
A
- hypotension
- bradycardia
- HF
- fatigue
8
Q
admin/pt ed
A
- monitor BP and HR
- check apical pulse before dose
- notify provider for HR < 60 bpm (or other prescribed rate)
9
Q
contraindications
A
- > 1st-degree AV block
- HF
- bradycardia
10
Q
precautions
A
- Wolff-Parkinson-White syndrome
- pregnancy (C)
- DM
- thyroid dz
- respiratory dysfunction
11
Q
interactions
A
- additive cariosuppression: verapamil, diltiazem
- DM can mask effect of insulin, prevent breakdown of fat in response to hypoglycemia
12
Q
admin/pt ed
A
- check apical pulse daily and report changes
- IV: no faster than 1 mg/min
