Metoprolol (Toprol XL) Flashcards
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Questions and Answers

What is the drug class of Metoprolol?

  • ACE inhibitor
  • Beta blocker (correct)
  • Diuretic
  • Calcium channel blocker

What is the primary purpose of Metoprolol regarding heart conditions?

HTN, angina, HF, MI, tachycardia, UA, arrhythmias

What is the purpose of Metoprolol in endocrine conditions?

hyperthyroidism

HR, BP, and chest pain attacks are increased with Metoprolol.

<p>False (B)</p> Signup and view all the answers

What are the routes of administration for Metoprolol?

<p>Oral (PO), Intravenous (IV) (B)</p> Signup and view all the answers

In which conditions is Metoprolol contraindicated?

<p>HF, bradycardia, cardiogenic shock</p> Signup and view all the answers

Renin secretions are increased by Metoprolol.

<p>False (B)</p> Signup and view all the answers

Which of the following are side effects of Metoprolol? (Select all that apply)

<p>Bradycardia (A), Hypotension (B), Fatigue (D)</p> Signup and view all the answers

What should be monitored while a patient is on Metoprolol?

<p>BP, ECG, pulse, vitals, I&amp;O, weight</p> Signup and view all the answers

How often should vitals and ECG be monitored when giving Metoprolol?

<p>every 5-15 minutes</p> Signup and view all the answers

What is the heart rate below which atropine should be given?

<p>40</p> Signup and view all the answers

It is safe to abruptly withdraw Metoprolol treatment.

<p>False (B)</p> Signup and view all the answers

What symptoms should a patient report while on Metoprolol?

<p>slow pulse, difficulty breathing, wheezing, cold hands and feet, rash, fever, lightheadedness, sore throat, unusual bleeding, bruising</p> Signup and view all the answers

Study Notes

Metoprolol Overview

  • Metoprolol belongs to the beta blocker drug class, which plays a crucial role in managing various cardiovascular conditions.

Indications for Use

  • Primarily treats hypertension (HTN), angina, heart failure (HF), myocardial infarction (MI), tachycardia, unstable angina (UA), and arrhythmias.
  • Also indicated for hyperthyroidism in endocrine applications.

Effects on the Body

  • Administration results in decreased heart rate (HR), blood pressure (BP), and frequency of chest pain attacks.
  • Renin secretions are also decreased, impacting blood pressure regulation.

Administration Routes

  • Available for oral (PO) and intravenous (IV) administration.

Contraindications

  • Not suitable for patients with heart failure (HF), bradycardia, or cardiogenic shock due to potential exacerbation of these conditions.

Side Effects

  • Common side effects include fatigue, weakness, anxiety, bradycardia, heart failure, pulmonary edema, hypotension, peripheral vasoconstriction, nausea, vomiting, and diarrhea.

Monitoring Requirements

  • Continuous monitoring of blood pressure, electrocardiogram (ECG), heart rate, vital signs, intake and output (I&O), and patient weight is essential for safe administration.

Monitoring Frequency

  • Vitals and ECG should be monitored every 5-15 minutes during administration.

Emergency Protocols

  • Atropine may be administered if heart rate drops below 40 bpm to counteract bradycardia.
  • Abrupt withdrawal can lead to life-threatening arrhythmias, hypertension, or myocardial ischemia.

Patient Education

  • Patients should report any concerning symptoms such as a slow pulse, difficulty breathing, wheezing, cold extremities, rash, fever, lightheadedness, sore throat, or unusual bleeding and bruising.

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Description

This quiz includes key concepts and definitions related to the drug Metoprolol, a beta blocker used for various cardiovascular and endocrine purposes. It covers topics such as its drug class, indications, administration routes, and contraindications. Test your knowledge on this essential medication!

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