Metoprolol by Gina Purdue https://padlet.com/gpurdue80/ow4xge9fh80u91ja Gina P and Marisa N en-us 2022-05-18 18:03:58 UTC 2022-06-15 17:12:29 UTC hello@padlet.com Mechanism of Action gpurdue80 https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220015614 Metoprolol is a second-generation (Cardioselective) beta blocker that works by blocking Beta-1 receptors in the heart which causes a reduced heart rate, reduced force of contraction, and reduced velocity of impulse conduction through the AV node.
MN]]> 2022-06-13 22:44:00 UTC https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220015614 Indications gpurdue80 https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220017531 Hypertension
Angina pectoris
Myocardial infarctions 
Heart Failure
Investigational use – cardiac dysrhythmias 

Metoprolol (cardioselective beta-blocker) is the preferred beta blocker for patients with diabetes and asthma because it's effects on beta2 receptors is normally minimal, therefore, less likely to cause broncho-constriction or hypoglycemia.

Contraindicated for:
AV blocks greater than first degree
Sinus bradycardia 
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]]> 2022-06-13 22:47:51 UTC https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220017531 Adverse Effects gpurdue80 https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220017702 Metoprolol can cause common adverse effects of bradycardia, dizziness, and depression.

Serious Adverse effects include Arterial insufficiency, Heart Failure, Rebound Cardiac Excitation, AV block, Hyperthyroidism, and Hypoglycemia.

Black Box Warning: Angina Pectoris Exacerbation and Myocardial Infarction after abrupt cessation 
MN]]> 2022-06-13 22:48:13 UTC https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220017702 Nursing Considerations gpurdue80 https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220018762 Instruct patient not to discontinue usage abruptly - it will cause rebound cardiac excitation causing tachycardia, worsened angina or ventricular dysrhythmias. Educate them when traveling to ensure they bring adequate supply and have a copy of their prescription. 

Take baseline BP and HR prior to administration.
Also educate patients to take their HR and BP at home prior to taking this medication each day. If severely bradycardic (below 60) or hypotensive, hold dose and call your provider.

Diabetic patients specifically – educate them that this medication can block their usual early warning signs of hypoglycemia such as tachycardia, tremors, and perspiration; Other warning signs they can use can be hunger, fatigue, and loss of concentration. They’ll also need to be diligent about checking their glucose levels throughout the day. 

Angina patients specifically – educate patients the importance of recording any angina incidences, the circumstance and severity. 
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]]> 2022-06-13 22:50:24 UTC https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220018762 NCLEX Question gpurdue80 https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220019539 You are preparing to provide your patient with their prescribed order of metoprolol to manage their hypertension. Which of the following baseline assessment data points do you need to gather before administering the drug? Select all that apply.
A. Heart Rate
B. Respiratory Rate
C. Blood Pressure
D. Temperature 
E. Blood Glucose 
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]]> 2022-06-13 22:51:46 UTC https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220019539 References gpurdue80 https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220023287 Burchum, J. R., & Rosenthal, L. (2019). Lehne's Pharmacology for Nursing Care (10th ed.). Elsevier. 

Metoprolol. Lexicomp. (n.d.). Retrieved June 13, 2022, from https://online.lexi.com/lco/action/doc/retrieve/docid/patch_f/7287?cesid=awUhKwK7oK1&searchUrl=%2Flco%2Faction%2Fsearch%3Fq%3Dmetoprolol%26t%3Dname%26acs%3Dtrue%26acq%3Dmetop# 
]]> 2022-06-13 22:56:58 UTC https://padlet.com/gpurdue80/ow4xge9fh80u91ja/wish/2220023287