#Metoprolol davis pdf skin

#Metoprolol davis pdf skin

Obtain baseline status for weight, vital signs, overall skin condition, and laboratory tests like renal and hepatic function tests, serum electrolyte, and complete blood count (CBC) with differential to assess patient’s response to therapy.Metoprolol succinate (Toprol XL) can cause dizziness, which could lead to falls.renal impairment, hyponatremia, hypovolemia, etc.) to prevent potential adverse effects. Assess for the mentioned contraindications to this drug (e.g.These are the important things the nurse should include in conducting assessment, history taking, and examination: Here are important nursing considerations when administering this drug: Nursing Assessment NSAIDs: increased risk for decreased antihypertensive effects.Allopurinol: increased risk for hypersensitivity.Captopril is associated with sometimes-fatal pancytopenia, cough, and GI distress.EENT: rash, alopecia, dermatitis, photosensitivity.CV: reflex tachycardia, chest pain, heart failure, cardiac arrhythmias.GU: renal insufficiency, renal failure, proteinuria.GI: irritations, ulcer, constipation, liver injury.Pregnant women are advised to use barrier type of contraceptives while taking this drug. Can cause potential adverse effects to the fetus and can decrease milk production. Can be exacerbated by the therapeutic effects of the drug. Changes in hemodynamics caused by these drugs can exacerbate heart failure. Decreased renal blood flow effect of these drugs can exacerbate renal impairment. Prevent severe hypersensitivity reactions. Renal and hepatic function should always be monitored. Older adults: are more susceptible to drug toxicity because of underlying conditions that would interfere with metabolism and excretion of drug.Adults: ACE inhibitors are not allowed during pregnancy.Children: safety and efficacy of ACE inhibitors has not been established in this age group.It is thought that decreased in stimulation of angiotensin receptors in the kidney will slow down the damage in the renal artery. It is also approved for treatment of diabetic nephropathy, in which the renal artery is being damaged by diabetes.The resultant effect is decreased in peripheral resistance and blood volume leading to decreased cardiac workload. Aside from its indication in treating hypertension, it is also combined with diuretics and digoxin in the treatment of heart failure and left ventricular dysfunction.Primarily indicated for hypertension and can be used alone or in combination with other drugs.

By preventing the production of angiotensin II which is a potent vasoconstrictor and a stimulator of aldosterone release, blood pressure is decreased with resultant loss of serum sodium and fluid but with a slight increase in serum potassium.Angiotensin-converting enzymes inhibitors (ACE Inhibitors) are antihypertensive agents that act in the lungs to prevent the conversion of angiotensin I into angiotensin II, which is a potent vasoconstrictor.Stage 2 Hypertension – systolic: less than or equal to 140 mmHg diastolic: less than or equal to 90 mmHg.Stage 1 Hypertension – systolic: 130-139 mmHg diastolic: 80-89 mmHg.Elevated – systolic: 120-129 mmHg diastolic: Normal – systolic: For example, a tumor in the adrenal medulla called phaeochromocytoma can cause the organ to release a high amount of catecholamines, which greatly increase blood pressure.Ī category rating the severity of hypertension has been devised and the classifications of blood pressure are as follows: It is also the reason why hypertension is tagged as the “silent killer.”Īnother type of hypertension called secondary hypertension is characterized by elevated blood pressure due to a known cause. Also, the organs are perfused effectively and people with essential hypertension usually exhibit no symptoms. Of this type, there is elevated total peripheral resistance. Ninety percent of these cases have no known cause and is termed as essential hypertension. Hypertension affects 20% of the population of the United States alone. Here is a table of commonly encountered antihypertensive drugs, their generic names, and brand names: ClassificationĪngiotensin-Converting Enzyme (ACE) Inhibitors Antihypertensive Agents: Generic and Brand NamesĪntihypertensive Agents: Generic and Brand Names.