DRUG STUDY - NCM 0112 LAB - David, Thea - BSN 3-A by Thea Meredith David https://padlet.com/davidtheameredith/i4nb0b2a8q169hev Atenolol & Clopidogrel en-us 2021-09-13 10:55:35 UTC 2025-12-09 16:27:09 UTC hello@padlet.com https://padlet-uploads.storage.googleapis.com/1342105713/23639119cd631db2c321c1c092a55c44/chika.gif ATENOLOL davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735686023 2021-09-13 10:58:18 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735686023 Generic Name davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735689144 Atenolol

]]> 2021-09-13 11:00:22 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735689144 Brand Name davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735691028 Tenormin

]]> 2021-09-13 11:01:38 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735691028 Stock Dosage davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735714866
  • Adult and Pediatric Dosage Forms and Strengths.
  • Tablet
  • 25 mg
  • 50 mg
  • 100 mg
  • Dosage Considerations – Should be Given as Follows: Hypertension
  • Adult: 25-50 mg/day orally initially; may be increased to 100 mg/day orally.
  • Pediatric (Off-label): 0.5-1 mg/kg/day orally; not to exceed 2 mg/kg/day or 100 mg/day.
  • Geriatric: 25 mg/day orally initially; may be increased to 100 mg/day orally.
    • Angina Pectoris
    • Adult: 50 mg/day orally; after 1 week, may be increased to 100 mg/day orally; some patients may require 200 mg/day.
    • Geriatric: 25 mg/day orally; after 1 week, may be increased to 100 mg/day; some patients may require 200 mg/day.
    Post Myocardial Infarction (MI)
    • Secondary prevention
    • Adult: 100 mg orally once daily or divided every 12 hours for 6-9 days after myocardial infarction (MI).
    • Geriatric: 100 mg orally once daily or divided every 12 hours for 6-9 days after MI.



    ]]>     2021-09-13 11:17:14 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735714866     Classification davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735717542 AUTONOMIC NERVOUS SYSTEM AGENT; BETA-ADRENERGIC ANTAGONIST (SYMPATHOLYTIC, BLOCKING AGENT); ANTIHYPERTENSIVE.]]> 2021-09-13 11:19:04 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735717542 Mechanism of Action davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735721071 Atenolol selectively blocks beta1-adrenergic receptors located chiefly in cardiac muscle. With large doses, the preferential effect is lost and inhibition of beta2-adrenergic receptors may lead to increased airway resistance, especially in patients with asthma or COPD. Mechanisms for antihypertensive action include central effect leading to decreased sympathetic outflow to the periphery, reduction in renin activity with consequent suppression of the renin-angiotensin-aldosterone system, and competitive inhibition of catecholamine binding at beta-adrenergic receptor sites.


    ]]>     2021-09-13 11:21:15 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735721071     Indication/s davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735727341
  • Treatment of angina pectoris due to coronary atherosclerosis.
  • Hypertension, as a step 1 agent, alone or with other drugs, especially diuretics.
  • Treatment of MI.
  • Unlabeled uses: Prevention of migraine headaches; alcohol withdrawal syndrome, treatment of ventricular and supraventricular arrhythmias. 



    • ]]>     2021-09-13 11:25:19 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735727341     Contraindications davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735732226 Sinus bradycardia, greater than first-degree AV heart block, uncompensated heart failure, cardiogenic shock, peripheral vascular disease, Raynaud's disease, hypotension; abrupt discontinuation, pulmonary edema. Safety during pregnancy (category D), or lactation is not established.]]> 2021-09-13 11:28:06 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735732226 Side Effects and Adverse Effects davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735736924 Side Effects
    • new or worsening chest pain;
    • slow or uneven heartbeats;
    • a light-headed feeling, like you, might pass out;
    • shortness of breath (even with mild exertion), swelling, rapid weight gain; or a cold feeling in your hand and feet.
    Adverse Effects
    • CNS: Dizziness, vertigo, light-headedness, syncope, fatigue or weakness, lethargy, drowsiness, insomnia, mental changes, depression. CV: Bradycardia, hypotension, CHF, cold extremities, leg pains, dysrhythmias. GI: Nausea, vomiting, diarrhea. Respiratory: Pulmonary edema, dyspnea, bronchospasm. Other: May mask symptoms of hypoglycemia; decreased sexual ability.
    ]]>     2021-09-13 11:30:45 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735736924     Nursing Responsibilities davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735744045 Assessment & Drug Effects
    -     Neonates born to mothers who are receiving atenolol at parturition or breastfeeding may be at risk for hypoglycemia.
    • Check apical pulse before giving oral drugs, especially in patients receiving digitalis (both drugs slow AV conduction). If below 60 bpm (or other ordered parameters), withhold dose and consult a physician.
    • Monitor apical pulse, BP, respirations, and peripheral circulation throughout the dosage adjustment period. Consult a physician for acceptable parameters.


    Patient & Family Education

    • Adhere rigidly to the dose regimen. Sudden discontinuation of drugs can exacerbate angina and precipitate tachycardia or MI in patients with coronary artery disease, and thyroid storm in patients with hyperthyroidism.
    • Make position changes slowly and in stages, particularly from recumbent to upright posture.
    • Do not breastfeed while taking this drug.





    ]]>     2021-09-13 11:35:08 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735744045     CLOPIDOGREL davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735748349 2021-09-13 11:37:48 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735748349 Generic Name davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735752673 Clopidogrel]]> 2021-09-13 11:40:08 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735752673 Brand Name davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735757766 Plavix]]> 2021-09-13 11:43:09 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735757766 Stock Dosage davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735762905
    Secondary Prevention
    • Adult: PO 75 mg q.d.


    ]]>     2021-09-13 11:46:02 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735762905     Classification davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735767255 BLOOD FORMERS, COAGULATORS, AND ANTICOAGULANTS; ANTIPLATELET AGENT]]> 2021-09-13 11:48:21 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735767255 Mechanism of Action davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735773102 Inhibits platelet aggregation by selectively preventing the binding of adenosine diphosphate to its platelet receptor. It is an analog of ticlopidine. The drug's effect on the adenosine diphosphate receptor of a platelet is irreversible.]]> 2021-09-13 11:51:19 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735773102 Indication/s davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735783045 Reduction of atherosclerotic events (MI, stroke, vascular death) in patients at risk for such events including recent MI, acute coronary syndrome (unstable angina/non-Q-wave MI), stroke, or peripheral vascular disease.


    ]]>     2021-09-13 11:56:28 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735783045     Contraindications davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735786692 Hypersensitivity to clopidogrel; intracranial hemorrhage, peptic ulcer, or any other active pathologic bleeding; pregnancy (category B). Discontinue clopidogrel 7 d before surgery and during lactation. Safety and efficacy not established in children.]]> 2021-09-13 11:58:18 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735786692 Side Effects and Adverse Effects davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735799465
    Side Effects

    1. Collection of blood under the skin
    2. deep, dark purple bruise
    3. itching, pain, redness, or swelling

    Adverse Effects
    Body as a Whole: Flu-like syndrome, fatigue, pain, arthralgia, back pain. CV: Chest pain, edema, hypertension, thrombocytic purpura. GI: Abdominal pain, dyspepsia, diarrhea, nausea, hypercholesterolemia. Hematologic: Thrombotic thrombocytopenic purpura, epistaxis. CNS: Headache, dizziness, depression. Respiratory: URI, dyspnea, rhinitis, bronchitis, cough. Skin: Rash, pruritus.
    ]]>     2021-09-13 12:04:33 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735799465     Nursing Responsibilities davidtheameredith https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735809017
    Assessment & Drug Effects

    • Carefully monitor for and immediately report S&S of GI bleeding, especially when coadministered with NSAIDs, aspirin, heparin, or warfarin.
    • Lab tests: Periodic platelet count and lipid profile.
    • Evaluate patients with unexplained fever or infection for myelotoxicity.


    Patient & Family Education

    • Report promptly any unusual bleeding (e.g., black, tarry stools).
    • Avoid chronic aspirin or NSAID use unless approved by physician.
    • Do not breast feed while taking this drug.

    ]]>     2021-09-13 12:08:54 UTC https://padlet.com/davidtheameredith/i4nb0b2a8q169hev/wish/1735809017