11.04 Propranolol (Inderal)

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Generic Name

propranolol

Trade Name

Inderal

Indication

hypertension, angina, arrythmias, cardiomyopathy, alcohol withdrawal, anxiety

Action

blocks Beta 1 and 2 adrenergic receptors

Therapeutic Class

antianginal, antiarrhythimic (class II beta blockers), antihypertensive, headache suppressant

Pharmacologic Class

beta blocker

Nursing Considerations

• contraindicated in CHF, pulmonary edema, cardiogenic shock, bradycardia, heart block
• monitor hemodynamic parameters (HR, BP)
• may cause bradycardia, CHF, pulmonary edema
• masks symptoms associated with diabetes mellitus
• advise to change positions slowly to prevent orthostatic hypotension
• instruct patient on how to take blood pressure
• stopping abruptly may result in life threatening arrhythmias
• monitor daily intake and output
• advise patient to notify physician for difficulty breathing

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