NURS 1566 Clinical Medication Worksheet

Generic Name Trade Name Classification Dose Route Time/frequency

Metoprolol Lopressor Beta Blocker 7.5 mg IV Q 6 hr
Peak Onset Duration Normal Dosage Range

20 min. Immediate 5-8 hr 5 mg Q 2 min for 3 doses, followed by oral dosing

Why is your patient getting this medication: For IV meds, compatibility with IV drips and /or
May be used for Hypertension, angina, and prevention solutions
of MI, Heart failure None noted

Mechanism of action and indications: Nursing Implications (what to focus on)

Contraindications/warnings/interactions
Blocks stimulation of Beta 1 – adrenergic receptors, Use cautiously in Geri patients because of increased
decreases BP and HR sensitivity to Beta Blockers

Common side effects:

Interactions with other patient drugs, OTC or
herbal medicines (ask patient specifically):
No known drug interactions
CNS: Fatigue, weakness, anxiety, depression
EENT: Blurred vision, stuffy nose
Resp: Bronchospasm, wheezing
CV: Bradycardia, CHF, Pulmonary Edema
GI: constipation, diarrhea, drug induced hepatitis
Derm: Rashes
Endo: hyperglycemia, hypoglycemia
MS: arthralgia
Lab value alterations caused by medicine:
May increase BUN, serum lipoprotein, potassium,
triglyceride, and uric acid levels, ANA titers, Blood
glucose, liver functions.

Be sure to teach the patient the following about this

medication:
May cause drowsiness, change positions slowly. Avoid
excessive caffeine.

Nursing Process- Assessment Assessment Evaluation

(Pre-administration)
Monitor BP, ECG, and pulse. Monitor I and
O ratios and daily weights
Why would you hold or not give this
med?
If heart rate less than 60 if signs of
CHF(rales/crackles, dyspnea, weight
gain, peripheral edema)
Check after giving
Monitor VS every 5-15 min
during and for several hours
after administration. Monitor
for S/S of CHF.