11.03 Metoprolol (Toprol XL)

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Generic Name

metoprolol

Trade Name

Lopressor

Indication

tachyarrhythmias, HTN, angina, prevention of MI, heart failure management, may be used for migraine
prophylaxis

Action

blocks the stimulation of beta1 receptors in the SNS, does not usually effect on beta2 receptors (cardioselective)

Therapeutic Class

antianginal, antihypertensive

Pharmacologic Class

beta blocker

Nursing Considerations

• monitor hemodynamics
• may lead to bradycardia, pulmonary edema
• use caution with MAOIs
• assess I&Os and monitor for signs of CHF

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