DRUG STUDY Name of Drug Metoprolol Tartate !

opressor" Classification Antianginal Antih#pertensive MI $roph#la%is and treatment Mechanism of Action Inhibits stimulation of beta& ' receptor sites in decreased cardiac e%citabilit#, cardiac output and m#ocardial o%#gen demand( These effects help relieve angina and reduce blood pressure( Contraindication Acute heart failure, )rad#cardia * +, bpm, -#persensitivit# to metoprolol or its components Indications, Side and Adverse Route and Dosage Effects I. -#pertension CNS. An%iet#, D.,/ mg0tab Confusion, Di11iness, Dro2siness, 3atigue, -eadache C4. Angina, arrh#thmias, 5rthostatic h#potension EENT. Nasal congestion, Taste disturbance 6I. Constipation, Diarrhea, Nausea, 4omiting MS. )ac7pain, M#algia RES$. D#spnea S8IN. Diaphoresis, Rash, 9rticaria Nursing Responsibilities :Advise patient to notif# prescriber if pulse rate falls belo2 ;/ bpm or is significantl# lo2er than usual( :be a2are that patients 2ho ta7e metoprolol ma# be at ris7 for A4 bloc7( :If A4 bloc7 results from depressed A4 node conduction, prepare to administer appropriate drug, as prescribed, or assist 2ith insertion of temporar# pacema7er( :)e a2are that abrupt 2ithdra2al of drug can precipitate th#roid storm in patient 2ith h#perth#roidism or th#roto%icosis( :Abrupt discontinuation of drug can cause m#ocardial ischemia, Mi or severe h#pertension especiall# in patient 2ith cardiac diseases( :Chec7 blood pressure an hour or t2o after administering the drug(