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Name of
Drug
Metoprolol
Tartate
(Lopressor)
Classification
Mechanism of
Action
Inhibits
Antianginal
stimulation of
beta1 receptor
Antihypertensi sites in decreased
cardiac
ve
excitability,
cardiac output and
MI Prophylaxis
myocardial
and treatment oxygen demand.
These effects help
relieve angina and
reduce blood
pressure.
Contraindicatio
n
Acute heart
failure,
Bradycardia <
45 bpm,
Hypersensitivit
y to metoprolol
or its
components
Indications,
Route and
Dosage
I: Hypertension
D:50 mg/tab
Side and
Adverse Effects
Nursing Responsibilities
CNS: Anxiety,
Confusion,
Dizziness,
Drowsiness,
Fatigue,
Headache
CV: Angina,
arrhythmias,
Orthostatic
hypotension
EENT: Nasal
congestion,
Taste
disturbance
GI:
Constipation,
Diarrhea,
Nausea,
Vomiting
MS: Backpain,
Myalgia
RESP: Dyspnea
SKIN:
Diaphoresis,
Rash, Urticaria
NICARDIPINE
Name of Drug
Classification
Mechanism of
Action
Contraindication
Indications
Nursing
Responsibilities
Nicardipine
Calcium
Channel Blocker
Antihypertensiv
e
LOSARTAN
Inhibits
calcium
Ion
movement
across cell
membran
es,
depressin
g
contractio
n of
cardiac
smooth
muscle.
Advance
aortic
stenosis
Treatment
of
hypertensi
on
Headache
Facial
flushing
Edema
Dizziness
Nausea
Palpitation
Dry mouth
Confusion
Slurred
speech
Drowsiness
Hypotension
Bradycardia
Give
without
regard of
food
Monitor
blood
pressure
Assess
pulse for
tachycardi
a
Avoid
alcohol
Name of
Drug
Generic
Name:
Losartan
Potassium
Brand
Name:
Cosaar
Classification
Mechanism of Action
Contraindication
Antihypertensive
Inhibits
vasoconstrictive
and aldosterone
secreting action o
f angiotensin II by
blocking
angiotensin II
receptor on the
surface of
vascular smooth
muscle and other
tissue cells.
Patients hypersensitive
to drug, breast-feeding
is not
recommended,c a u s e s
fetal and neonatal
morbidity and
death
Indications,
Route and
Dosage
Hypetension,
Nephepatically
in type 2
daibetic
patients, to
reduce risk
of CVA in patients
with hypertension
and left ventricular
hypertrophy
Side and
Adverse Effects
Nursing
Responsibilities
CNS-dizziness,
asthenia, fatig
ue, headache,
insomia.
>>Monitor patients
BP.
CV
edema,chest
pain.
EENT
-nasal
congestion,
sinusitis,
pharyngitis,
sinus disorder.
GI
-Abdominal pain,
nausea,
diarrhea,
dyspepsia.
Musculoskeletal
-muscle cramps,
myalgia, back or
leg pain.
Respiratory
-cough, upper
respiratory infec
>>Monitor patients
who are also taking
diuretics
for symptomatic
hypotension.
>>Assess patients
renal function
>>Tell patient to
avoid salt substitutes
tion.