Beta Blockers

Question 1

Sotalol trade name

Answer 1

betapace

Question 2

sotalol drug classification

Answer 2

beta blocker, antidysrhythmic group 3

Question 3

sotalol expected effect

Answer 3

block beta 1/ 2 receptors leading to antidysrhythmic effect, prolong action potential. prolong QT interval

Question 4

sotalol why use

Answer 4

ventricular dysrhythmias, maintain sinus rhythm with atrial fibrillation/ flutter

Question 5

sotalol doses

Answer 5

80mg bid up to 240-320mg

ventricular dysrhythmias 75mg/ day

Question 6

sotalol route admin

Answer 6

PO

Question 7

sotalol adverse effects

Answer 7

prolong QT, CHF, ventricular dysrhythmias, leukopenia, thrombocytopenia, agranulocytosis, bronchospasm

Question 8

sotalol nursing considerations

Answer 8

• requires specialized care setting (ECG monitoring)
• do not abrupt discontinue, adjust doses slowly
• QT syndrome (monitor ECG, pulses)
  teach
• report symptoms CHF

Question 9

nadolol trade names

Answer 9

corgard, syn-nadol

Question 10

nadolol drug class

Answer 10

beta adrenergic receptor blocker

Question 11

nadolol expected effect

Answer 11

beta blocker, blocks beta 1 in heart, beta 2 in lungs, uterus, circ system. Reduces effects like hormones (EP) on heart & reduces BP

Question 12

nadolol why use

Answer 12

chronic stable angina pectoris

hypertension

Question 13

nadolol route admin

Answer 13

PO

Question 14

nadolol dosages

Answer 14

40/day, may ^ to 40-240mg/day angina & 40-320 for hypertension

Question 15

nadolol adverse reactions

Answer 15

CHF, AV block, pancreatitis, agranulocytosis, thrombocytopenia, bronchospasm, pulmonary edema

Question 16

nadolol black box warning

Answer 16

abrupt discontinuation results in MI, ischemia, dysrhythmias, hypertension, withdraw slowly

Question 17

nadolol nursing considerations

Answer 17

BP, pulse, respiration, watch for orthostatic hypotension

Question 18

metoprolol trade names

Answer 18

Nu-Metop, Lopressor, Troprol XL

Question 19

metoprolol drug classification

Answer 19

beta blocker, antihypertensive, antianginal

Question 20

metoprolol expected effect

Answer 20

lowers blood pressure by blocking beta & reducing high renin levels

Question 21

metoprolol why use

Answer 21

hypertension, MI, angina, heart failure, cardiomyopathy

Question 22

metoprolol doses

Answer 22

see paper

Question 23

metoprolol routes of admin

Answer 23

PO, IV

Question 24

metoprolol black box warning

Answer 24

abrupt discontinuation > may cause MI, dysrhythmias, ischemia

Question 25

metoprolol adverse effects

Answer 25

bradycardia, cardiac arrest, AV block, edema, angina, agranulocytosis, eosinophilia, thrombocytopenia, purport, bronchospasm

Question 26

metoprolol nursing considerations

Answer 26

BP, renal hepatic studies, take after meals & bedtime to prevent orthostatic hypotension therapeutic response: lower BP & angina