NURS 1566 Clinical Form 3: Clinical Medications Worksheets

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

Generic Name Trade Name Classification Dose Route Time/frequency

Metoprolol Toprol-XL Antianginals, 25 mg PO BID
antihypertensives
Peak Onset Duration Normal dosage range
Unknown 15 min 6-12 hr 25-100 mg/day as a single dose initially or 2 divided doses,
may be increases q 7 days as needed up to 450 mg/day (for
angina give in divided dose).
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or solutions
Treatment of Angina N/A

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered)
Blocks stimulation of beta 1, adrenergic receptors. Does
not usually affect beta 2 adrenergic receptor sites.
Contraindications/warnings/interactions
Uncompensated CHF. Pulmonary edema. Cardiogenic shock.
Bradycardia or heart block.
Common side effects
Fatigue, weakness, anxiety, depression, dizziness,
drowsiness, insomnia, memory loss, bradycardia,
hypotension.

Interactions with other patient drugs, OTC or herbal Lab value alterations caused by medicine
medicines (ask patient specifically) May cause increase BUN, serum lipoprotein, potassium,
Hypotension may occur with other antihypertensives. triglyceride, and uric acid levels. May cause increase ANA
Concurrent administration of thyroid administration may titers, May cause increase in blood glucose levels, may cause
decrease effectiveness. increase serum alkaline phosphatase, LDH, AST, and ALT
levels.
Be sure to teach the patient the following about this
medication
Take as directed, at the same time each day, even if feeling
well, do not skip or double up on missed doses. Do not stop
medication suddenly. Teach patient and family how to take
pulse daily and blood pressure biweekly. May cause
drowsiness. Change positions slowly.
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Take apical pulse before administering If med? Monitor BP, Reduction if
<50bpm or if arrhythmia occurs withhold Apical pulse < 50 BPM frequency of angina attacks,
medication& notify Dr. increase in activity tolerance.