DRUG STUDY

Name of Drug Classification Dose Mechanism of Indication Contraindications Side and Adverse Nursing Responsibilities
Action Effects

Metoprolol Therapeutic: 50 mg Inhibits stimulation - to lower blood infarction in clients CNS: Anxiety,
-Check blood pressure before and
(Lopressor) BID of beta1 – receptor pressure with a HR of less than Confusion, after administering the drug.
Antihypertensive
sites in decreased 60 bpm, in second or Dizziness, Because sometimes patients tend
- to decrese
cardiac excitability, third degree heart Drowsiness, to have higher BP due to their
intensity of
cardiac output and blocks, or if systolic Fatigue, prior activities (e.g. straining,
Pharmacologic: angina attacks
myocardial oxygen blood pressure is less Headache stress, etc.). Thus, it is important
demand. These than 100mmHg. to let them have the time to rest
Beta Blocker CV: Angina,
effects help relieve Moderate to severe for at least 15 minutes for the
arrhythmias,
angina and reduce cardiac failure nurse to verify the true
Orthostatic
blood pressure. measurement of BP.
Beta blockers, hypotension
also known -Advise patient to notify or note if
EENT: Nasal
as beta- pulse rate falls below 60 bpm or is
congestion, Taste
adrenergic significantly lower than usual.
disturbance
blocking agents,
-Caution patient to avoid
are medications GI: Constipation,
activities that require alertness
that reduce your Diarrhea, Nausea,
until response to the drug is
blood Vomiting
known
pressure. Beta
blockers work MS: Backpain,
- Advise patient to change
by blocking the Myalgia
positions slowly to minimize
effects of the orthostatic hypotension.
RESP: Dyspnea
hormone
-Be aware that patients who take
 epinephrine, also SKIN: Lopressor may be at risk for
known as Diaphoresis, Atrioventricular block.
adrenaline. Beta Rash, Urticaria
It is due for you to give the
blockers cause
medication of the patient which
your heart to
is Metropolol which is a known
beat more slowly
anti-hypertensive. Are you still
and with less
going to administer this
force, which
medication?
lowers blood
pressure. Yes, the medication is still to be
administered, unless it's nearly time
for the next dose.

It is important not to get off track

about taking your blood pressure
medication since regular doses can
help lower blood pressure and
reduce the chances that you will
have blood pressure-related health
problems.

Never take 2 doses at the same time.

Never take an extra dose to make up
for a forgotten one.

Beckerman, J. (2020). High Blood Pressure Medication Guidelines. Retrieved from: https://www.webmd.com/hypertension-high-blood-pressure/guide/medicine-guidelines#1