University:
American Career College
Course:
NURS112 | Fundamentals of Nursing
Academic year:

2020
Views:

42

Pages:

1
Author:

5prinzg1s

ATI: ALPHA/BETA BLOCKERS Drug Information Table Alpha/beta blockers-carvedilol (Coreg) Therapeutic Use Treats hypertension Treats heart failure along with digoxin, ACE inhibitors and diuretics Prolongs chance of survival following MI Side/Adverse Effects Dizziness, hypotension Administration Available for oral use only Give with food to minimize orthostatic hypotension Interventions Monitor blood pressure and report hypotension to provider Patient Instructions Report dizziness, syncope to provider Move slowly from lying to standing position to prevent falls Do not perform hazardous activity, such as driving, until effects are known Bradycardia due to blockade of beta, receptors; may lead to reduced cardiac output Monitor heart rate and report rate slower than 60 beats/min (or prearrange parameter) to provider Check pulse rate daily before taking drug and report to provider for pulse slower than 60 beats/min (or prearranged parameter) Interactions Contraindications Severe unstable heart failure Asthma or other chronic respiratory disorders Heart block or severe bradycardia Cardiogenic shock Lactation Precautions Children younger than 18 years of age Diabetes mellitus Renal or liver disorders Peripheral vascular disease Depressive disorders Increases risk for hypoglycemia with insulin or oral hypoglycemic May increase risk for digoxin toxicity MAOI antidepressants cause bradycardia or hypotension Cimetidine increases blood levels Use with other antihypertensive drugs may increase risk for hypotension