Metoprolol (Toprol XL) Flashcards

What is the drug class of Metoprolol?

What is the primary purpose of Metoprolol regarding heart conditions?

What is the purpose of Metoprolol in endocrine conditions?

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

What are the routes of administration for Metoprolol?

In which conditions is Metoprolol contraindicated?

Renin secretions are increased by Metoprolol.

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

What should be monitored while a patient is on Metoprolol?

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

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

It is safe to abruptly withdraw Metoprolol treatment.

What symptoms should a patient report while on Metoprolol?

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.

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!