0
Q
Trade Name
A
Lopressor
1
Q
Generic Name
A
metoprolol
2
Q
Class
A
Beta-Blocker; Class II anti-dysrhythmic
3
Q
Mechanism of Action
A
Selectively blocks B1 receptors with minimal effects of B2 receptors at lower doses, causing decrease in HR, SBP, and CO
4
Q
Indications
A
- A-Fib or A-Flutter with rapid ventricular response
- Stable, narrow-complex tachycardias uncontrolled by adenosine and vagal maneuvers
- Some forms of polymorphic VT
5
Q
Contraindications
A
-Bradycardia
-Hypotension
-CHF
-AV blocks
-Shock
-Asthma or RAD
-Pts given IV CCBs
Relative: Pts taking HTN meds
6
Q
Adverse Reactions
A
- Bradycardia
- Hypotension
- CHF
- Wheezing
- SOB
- Lethargy
- Weakness
7
Q
Dose-> Adult
A
5mg, may repeat every 2 minutes up to 15mg
8
Q
Dose -> Pediatric
A
Not used
9
Q
Route
A
IV/IO
10
Q
Special Considerations
A
Monitor HR, BP, EKG
Drug Cards
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