Table of Contents
What should be monitored when taking metoprolol?
During the intravenous administration of Metoprolol, blood pressure, heart rate,and electrocardiogram should be carefully monitored.In patients who tolerate the full intravenous dose (15 mg), Metoprolol tartrate tablets, 50 mg every 6 hours, should be initiated 15 minutes after the last intravenous dose and continued …
What are the nursing considerations for beta blockers?
Nursing Considerations: Nonselective beta blockers must be used cautiously with patients who have co-existing asthma or chronic obstructive pulmonary disease (COPD) because of the effects on Beta-2 receptors that could potentially cause bronchoconstriction. It can also mask symptoms of hypoglycemia in diabetics.
What is a nursing consideration?
Nursing consideration and implications are generally summed up as being what a nurse needs to know and do in a particular situation.
When should nurses not use Metoprolol?
Myocardial Infarction. Lopressor is contraindicated in patients with a heart rate < 45 beats/min; second- and third-degree heart block; significant first-degree heart block (P-R interval ≥ 0.24 sec); systolic blood pressure < 100 mmHg; or moderate-to-severe cardiac failure (see WARNINGS).
What are the four actions of metoprolol?
Clinical pharmacology studies have confirmed the beta-blocking activity of metoprolol in man, as shown by (1) reduction in heart rate and cardiac output at rest and upon exercise, (2) reduction of systolic blood pressure upon exercise, (3) inhibition of isoproterenol-induced tachycardia, and (4) reduction of reflex …
What is the expected pharmacological action of metoprolol?
Metoprolol belongs to a class of drugs known as beta blockers. It works by blocking the action of certain natural chemicals in your body, such as epinephrine, on the heart and blood vessels. This effect lowers the heart rate, blood pressure, and strain on the heart.
Can you nurse on beta blockers?
Breastfeeding while taking beta-blockers: Atenolol, acebutolol, and nadolol are present in high amounts in breast milk and may not be recommended while breastfeeding. Propranolol, labetalol, and metoprolol have been found in small amounts in breastmilk and are considered compatible with breastfeeding.
When Should beta blockers be withheld?
Contraindications such as the presence of severe left ventricular dysfunction, exacerbation of reactive airway disease, insulin-dependent diabetes, or worsening of symptoms of peripheral vascular disease may be important reasons to withhold β blockers.
What are examples of nursing considerations?
7 Nursing Interventions You Do Every Single Shift – Written by a Nurse!
- Active listening. This is something that hopefully you will do with each and every patient.
- Prevent falls.
- Control pain.
- Cluster care.
- Turn every two hours / promote position changes.
- Promote adequate oral intake.
- Promote self-care.
When should you not take metoprolol succinate?
You should not use Metoprolol Succinate ER if you have a serious heart problem (heart block, sick sinus syndrome, slow heart rate), severe circulation problems, severe heart failure, or a history of slow heart beats that caused fainting.
What adverse reactions should the patient be aware of metoprolol?
Metoprolol may worsen the symptoms of heart failure in some patients. Check with your doctor right away if you are having chest pain or discomfort, dilated neck veins, extreme fatigue, irregular breathing or heartbeat, shortness of breath, swelling of the face, fingers, feet, or lower legs, or weight gain.
Should I be taking metoprolol?
People with asthma, a slow heart rate, or heart failure should not use beta blockers, including metoprolol. Doctors should prescribe this drug with caution for older people and those with diabetes. Before taking metoprolol, be sure to tell your doctor if you have a slow heart rate or problems with blood circulation.
What are the contraindications of metoprolol?
Metoprolol is contraindicated in sinus bradycardia,heart block greater than first degree,cardiogenic shock,and overt cardiac failure.
Is metoprolol and metoprolol tartrate the same thing?
They have the same ingredient, metoprolol, but in different forms (salts). While they are both beta blockers, they are not interchangeable and have different uses. They are not dose equivalent. “Metoprolol tartrate is used to treat high blood pressure, chest pain due to heart disease, or heart attack.
Is metoprolol good for COPD?
We want to study the effect of the combination of metoprolol (a beta-blocker) with formoterol (a beta-agonist) on long function in patients with Chronic Obstructive Pulmonary Disease (COPD). There are more and more clues that a beta-blocker, when well chosen and in the right dosage, won’t harm the long function in patients with COPD.