NUR 210 Principles of Pharmacology
Exam 3
Question:
What type of medication is metoprolol?
Answer:
Beta Blocker
Question:
What are the contraindications for metoprolol?
Answer:
heart block, heart failure, bradycardia, hypotension, cardiogenic shock
Question:
What are the nursing interventions for metoprolol?
Answer:
baseline vitals, liver and renal function, AST, LDH, patient teaching
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Question:
What is the patient teaching for metoprolol?
Answer:
do not abruptly stop therapy d/t rebound hypertension, avoid OTC meds until you consult with a provider, medic alert band, how to take a pulse and blood pressure, rise slowly to avoid orthostatic hypotension, low sodium diet, limit alcohol and have Glucagon on hand to reverse effects
Question:
What are the side effects of metoprolol?
Answer:
fatigue, weakness, dizziness, dry mouth, nausea, vomiting, diarrhea, insomnia, nightmares, drowsiness, headache, blurred vision, peripheral edema and tinnitus
Question:
What are the adverse effects of metoprolol?
Answer:
bradycardia, hypotension, stroke, thrombocytopenia, diabetes mellitus, bronchospasm, agranulocytosis
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Question:
Why do we give prazosin hcl?
Answer:
control hypertension
Question:
What is the productive positive effect of prazosin hcl?
Answer:
decrease blood pressure to a normal range of < 120/80 mmHg
Question:
What patient teaching is needed for ACE inhibitors?
Answer:
do not abruptly discontinue, do not take OTC meds without first consulting a provider, no salt substitutes, slow to rise due to orthostatic hypotension, how to take blood pressure
Question:
What cultural considerations are there for ACE inhibitors?
Answer:
not to be used during pregnancy, elderly and African Americans respond poorly to this drug classification
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