Metoprolol Flashcards

Study Notes

Metoprolol (Lopressor) is a beta-adrenergic blocker used primarily to manage hypertension, angina, and heart attack recovery.
Abrupt discontinuation can lead to rebound hypertension, necessitating careful weaning off.

Primary Action: Assess blood pressure if a client reports stopping the medication due to cost, as sudden withdrawal can cause significant spikes in blood pressure.
Monitor heart rate before administering metoprolol; withhold the medication if apical pulse is below 60 beats/min or if systolic BP is below 90 mm/Hg.
Significant post-myocardial infarction nursing tasks include monitoring glucose levels closely in diabetic patients, checking for bradycardia or heart block, and closely observing blood pressure.

High Priority: Decreased cardiac output is the most critical nursing diagnosis for clients starting on metoprolol due to its potential effects on heart function.
Ineffective tissue perfusion (cerebral and cardiovascular) is also a priority due to risks associated with the medication.

Metoprolol may interact with epinephrine; caution is advised when these medications are used together.

Bradycardia is a significant side effect; regular monitoring is essential.
Abrupt withdrawal can trigger a hypertensive crisis, highlighting the importance of patient education on the medication's gradual tapering.

Inform patients that mixing beta-blockers with alcohol is discouraged, as it can exacerbate side effects, rather than enhance therapeutic effects.
Emphasize the importance of contacting healthcare providers regarding any side effects or concerns with medication adherence.

One anticipated benefit of metoprolol therapy includes a decrease in heart rate and overall blood pressure, promoting better cardiovascular health.
Beta-blockers may initially increase fatigue levels but contribute significantly to long-term health improvements.

Metoprolol may mask hypoglycemia symptoms; diabetic patients should monitor their blood sugar closely while on this medication.
Compatibility with other drugs varies; metoprolol has unique considerations for mixing with other medications, especially in IV forms.