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Answered step-by-step
Asked by SuperPrairieDogPerson614
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.Â
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Important teaching pointsabout this medication, including life threatening and common side effects? (Ask yourself, “what if this works too well?”)
Additional, pertinent notes.Â
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 IVPÂ
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