University:
Keiser University
Course:
NUR 2032C | Care Management
Academic year:

2021
Views:

310

Pages:

1
Author:

catfever701r

ACTIVE LEARNING TEMPLATE: Medication carvedilol MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ beta blockers CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Blocks stimulation of beta1 and beta2 adrenergic sites. Also has alpha1 blocking activity, which may result in orthostatic hypotension. Therapeutic Use Decreased heart rate and BP. Improved cardiac output, slowing of the progression of HF and decreased risk of death. Complications Dizziness, fatigue, weakness, diarrhea, erectile dysfunction, hyperglycemia. Medication Administration PO adults: 6.25 mg twice daily. Contraindications/Precautions History of serious hypersensitivity reaction, pulmonary edema, cardiogenic shock. Interactions General anesthetics, IV phenytoin, diltiazem, verapamil may cause increased myocardial depression. Increased risk of bradycardia with digoxin. Nursing Interventions Monitor BP and pulse frequently during dose adjustment adjustment period and periodically during therapy. Monitor intake and output ratios and daily weight. Check for fluid overload, crackles, dyspnea. Check frequency of refills to determine adherence. Client Education Evaluation of Medication Effectiveness Decrease in BP without appearance of detrimental side effects. Decrease in severity of HF. Instruct patient to take medication at same time each day even when feeling well. Take missed dose as soon as remembered unless next dose is within 4hrs. Teach patient and family how to check pulse and BP. Instruct them to check pulse daily and BP biweekly. May cause drowsiness or dizziness. Advise patient to change positions slowly.