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Basics:

Generic name of medication,pharm. classification

Mechanism of action?(Students will not be tested on, but knowing this will make it much easier to remember the rest.)

Common indications for this medication?

Safe Dosage Range (students must know this for clinical, but won’t be tested on this unless specifically indicated by FOR)

Common reasons to withhold the medication or clarify the order. 

 

Important teaching pointsabout this medication, including life threatening and common side effects? (Ask yourself, “what if this works too well?”)

Additional, pertinent notes. 

Ex: post administration assessment findings, special considerations, key points to know.

Metoprolol

Pharm class: beta blocker

Selective beta1 blocker; decreases cardiac output, peripheral resistance, and cardiac oxygen consumption; depresses renin secretion

Tachyarrhythmias, HTN, heart failure, myocardial infarction

25mg – 200 mg PO once or twice daily; IV 5mg IVP 

Low BP, orthostatic hypotension, bradycardia (HR <60)   Most common side effects include: dizziness, bradycardia, hypotension, orthostatic hypotension, fatigue    Life threatening side effects: HF and bronchospasm as well as severe drops in BP/HR.   Increases the risk for falls Pt may need to be taught how to check peripheral pulse and/or BP and which parameters for those VS would mean they should not take this medication.  Do not abruptly stop. Watch trends of BP/HR as it relates to timing of medication administration. Furosemide             Methylprednisolone             Lisinopril             Albuterol             Ondansetron             Insulin (aspart and lantus)           Key differences between aspart and lantus Heparin           Describe key differences between SQ dosing and IV dosing Warfarin             Lisinopril             Morphine              Atorvastatin             Ibuprofen             Nitroglycerin             Acetaminophen              Metronidazole             Cefepime             Vitamin K             Lorazepam              Pantoprazole              SCIENCE HEALTH SCIENCE NURSING NRS 308

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