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Drug Study: PROPRANOLOL
Name of Classification Indications Side Effects Nursing
the Drug Implications Beta-adrenergic Management of cardiac Frequent: Diminished Propranolol blockers(non- arrhythmias, myocardial sexual function, - Monitor vital signs, selective), infarction, drowsiness, difficulty ECG, and central antianginal, tachyarrhythmias sleeping, unusual venous pressure. antiarrhythmic, associated with digitalis fatigue/ weakness antihypertensive intoxication, anesthesia, Occasional: - Assess fluid thyrotoxicosis, Bradycardia, balance. Check for hypertrophic subaortic depression, signs and symptoms stenosis, angina sensation of of heart failure. pectoris due to coldness in coronary extremities, diarrhea, - Monitor CBC and atherosclerosis, constipation, anxiety, liver and thyroid pheochromocytoma, nasal congestion, function tests. Mechanism of hereditary essential nausea, vomiting Action tremor; also, treatment Rare: altered taste, - Watch loosely for Dosage of hypertension alone, dry eyes, pruritus, signs and symptoms Competitively but generally with a paresthesia of hypoglycemia, 40 mg / tab blocks-beta thiazide or other which drug may adrenergic receptors antihypertensives. mask. B.I.D, PO in the heart and juxtaglomerular Adverse Effects -Monitor blood apparatus, glucose level in decreasing the Contraindications Overdose may diabetic patients, to influence of the produce profound identify need for sympathetic nervous a. Allergy to beta- bradycardia, altered insulin or system on these blocking agents hypotension. Abrupt oral hypoglycemic tissues, the withdrawal may dosage. Be aware excitability of the R: It may induce allergic result in diaphoresis, that in labile heart, cardiac reactions palpitation, diabetes, workload and headache, hypoglycemia may oxygen b. Sinus bradycardia tremulousness may be accompanied by consumption, and precipitate HF, MI in steep blood the release of rennin R: it may further pts with cardiac pressure rise and lowering BP; contribute to decreased disease, thyroid has membrane- heart rate of the client storm in pts with stabilizing (local thyrotoxicosis, anesthetic) effects c. Pregnancy peripheral ischemia that contribute to its in patients with antiarrhythmic R: It may cause existing peripheral action; acts in the neonatal bradycardia vascular disease. CNS to reduce Hypoglycemia may sympathetic outflow d. Apnea occur in patients with and vasoconstrictor previously controlled tone. R: It may further cause diabetes relaxation of the respiratory muscles, thus inhibiting respiration.