if discontinued suddenly: palpitations, rebound HTN, life-threatening dysrhythmias, MI
What are the contraindications/precautions for Propranolol (Inderal)?
cardiogenic shock, sinus bradycardia, greater than first-degree heart block, severe heart failure, COPD, asthma, diabetes, reduced renal output
What are the drug interactions of Propranolol (Inderal)?
beta blockers, calcium channel blockers such as verapamil (Calan, and dilitiazem (Cardizem), Phenothiaines, MAOIs, ethanol, antacids containing aluminum hydroxide, beta-adrenergic agonists such as albuterol (Proventil)
Herbal/Food: large doses of vitamin C, hawthorn
What is the pregnancy category for Propranolol (Inderal)?
What are the nursing responsibilities for Propranolol (Inderal)?
Obtain thorough medical hx
evaluate response to therapy
monitor for drug-related adverse effects
assess lab tests
consult prescriber regarding salt restrictions
examine the pt for impaired circulation
What is the patient and family education for Propranolol (Inderal)?
take radial pulse before each dose
if you have diabetes, remember that the drug suppresses signs of hypoglycemia
take med exactly as prescribed
do not abruptly stop taking med
make position changes slowly
avoid prolonged exposure to cold
do not drive
to not take any medication, herbals, supplements without consulting your doctor
inform your dentist, ophthalmologist, surgeon, and other health care providers you are taking a beta blocker
do not breast feed
notify doctor if pregnant
What are the therapeutic and pharmacologic classifications for Metoprolol (Lopressor, Toprol)?