University of Pennsylvania School of Nursing
Medication Tracking Sheet
Tracking Medications Across the Curriculum
Major Drug Classification (s): beta blocker
Generic drug name: Metoprolol Trade (Brand) name: Lopressor
Normal dosage range:______25-50mg Safe dosage range:
Route(s) of administration: PO once a day
Drug action (s): Blocks simulation of beta1 adrenergic receptors.
* Angina pectoris.
* Prevention of MI and decreased mortality in patients with recent MI.
* Management of stable, symptomatic (class II or III) heart failure due to ischemic, hypertensive or ...view middle of the document...
* Monitor BP, ECG, and pulse frequently during dose adjustment and periodically during therapy.
* Monitor frequency of prescription refills to determine compliance.
* Monitor vital signs and ECG every 5–15 min during and for several hours after parenteral administration. If heart rate <40 bpm, especially if cardiac output is also decreased, administer atropine 0.25–0.5 mg IV.
* Monitor intake and output ratios and daily weights. Assess routinely for signs and symptoms of HF (dyspnea, rales/crackles, weight gain, peripheral edema, jugular venous distention).
* Angina: Assess frequency and characteristics of anginal attacks periodically during therapy.
Lab Test Considerations: May cause ↑ BUN, serum lipoprotein, potassium, triglyceride, and uric acid levels.
* May cause ↑ ANA titers.
* May cause ↑ in blood glucose levels.
May cause ↑ serum alkaline phosphatase, LDH, AST, and ALT levels.
Key teaching points:
* Instruct patient to take medication as directed, at the same time each day, even if feeling well; do not skip or double up on missed doses. Take missed doses as soon as possible up to 8 hr before next dose. Abrupt withdrawal may precipitate life-threatening arrhythmias, hypertension, or myocardial ischemia.
* Teach patient and family how to check pulse daily and BP
* May cause drowsiness.
* Advise patient to change positions slowly to minimize orthostatic hypotension.
* Instruct patient to notify health care professional of all Rx or OTC medications, vitamins, or herbal products being taken and to consult health care professional before taking any Rx, OTC, or herbal products, especially cold...