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Flashcards in Beta Blockers Deck (26)
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1
Q

Sotalol trade name

A

betapace

2
Q

sotalol drug classification

A

beta blocker, antidysrhythmic group 3

3
Q

sotalol expected effect

A

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

4
Q

sotalol why use

A

ventricular dysrhythmias, maintain sinus rhythm with atrial fibrillation/ flutter

5
Q

sotalol doses

A

80mg bid up to 240-320mg

ventricular dysrhythmias 75mg/ day

6
Q

sotalol route admin

A

PO

7
Q

sotalol adverse effects

A

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

8
Q

sotalol nursing considerations

A
  • requires specialized care setting (ECG monitoring)
  • do not abrupt discontinue, adjust doses slowly
  • QT syndrome (monitor ECG, pulses)
    teach
  • report symptoms CHF
9
Q

nadolol trade names

A

corgard, syn-nadol

10
Q

nadolol drug class

A

beta adrenergic receptor blocker

11
Q

nadolol expected effect

A

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

12
Q

nadolol why use

A

chronic stable angina pectoris

hypertension

13
Q

nadolol route admin

A

PO

14
Q

nadolol dosages

A

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

15
Q

nadolol adverse reactions

A

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

16
Q

nadolol black box warning

A

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

17
Q

nadolol nursing considerations

A

BP, pulse, respiration, watch for orthostatic hypotension

18
Q

metoprolol trade names

A

Nu-Metop, Lopressor, Troprol XL

19
Q

metoprolol drug classification

A

beta blocker, antihypertensive, antianginal

20
Q

metoprolol expected effect

A

lowers blood pressure by blocking beta & reducing high renin levels

21
Q

metoprolol why use

A

hypertension, MI, angina, heart failure, cardiomyopathy

22
Q

metoprolol doses

A

see paper

23
Q

metoprolol routes of admin

A

PO, IV

24
Q

metoprolol black box warning

A

abrupt discontinuation > may cause MI, dysrhythmias, ischemia

25
Q

metoprolol adverse effects

A

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

26
Q

metoprolol nursing considerations

A

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