NURS 1556 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

Metoprolol Lopressor B-blocker, anti- 50mg po q bid
anginal, anti-
hypertensive
Peak Onset Duration For IV meds, compatibility with IV drips and /or
Unknown 15 min. 6-12 hrs. solutions

Mechanism of action and indications (Why med ordered)
Blocks stimulation of beta (myocardial) adrenergic
receptors. Doesn’t affect B2 sites. Slows down heart.
Nursing Implications (what to focus on) monitor VS
Contraindications/warnings/interactions – CHF,
pulmonary adema, cardiogenic shock, bradycardia, heart
block
Common side effects – fatigue, weakness, ED

Interactions with other patient drugs, OTC or herbal
medicines (ask patient specifically) – general anesthesia,
antihypertensives, amphetamines, cocaine, ephedrine,
norepinephrine, pseudo phenylephrine, insulin,
dopamine, MAO inhibitor
Lab value alterations caused by medicine – Inc. BUN,
serum lipo protein, K, triglyceride, Uric acid levels, Inc.
ANA titers, Inc. Blood gluclose, Inc. serum alkaline
phosphatase, LDH, AST, ALT levels
Be sure to teach the patient the following about this
medication – take meds as directed, how to check pulse,
drowsiness, change position slowly

Nursing Process- Assessment Assessment Why would you hold or
(Pre-administration assessment) – BP, ECG, not give this med? – BP less than 50
pulse, I & O, daily weights, monitor for CHF bpm, arrhythmia/ with meals or after
eating
Evaluation Check after
giving
Lower BP, less anginal
attacks, increase in activity,
prevention of MI

Contraind: Geri – increased sensitivity to B blockers; initial dose reduction

recommended, pulmonary disease; diabetes; thyrotoxicosis, allergic reactions