Propranolol (Inderal) Nursing Considerations
Included In This Lesson
Study Tools For Propranolol (Inderal) Nursing Considerations
Outline
Generic Name
propranolol
Trade Name
Inderal
Indication
hypertension, angina, arrhythmias, 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 of hypoglycemia 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
Transcript
Hey guys, let’s talk about the drug propranolol also known as indol. This is an oral medication, as you can see here, and it also comes in an IV form. So the therapy a class or how propranolol works in the body is an antianginal anti arrhythmic anti-hypertensive and also a vascular headache suppressant. The pharmacologic class or chemical effect of this drug is a beta blocker. Propranolol works because it blocks beta and beta two auric receptors, which is why we use it for the treatment of hypertension, angina, arrhythmias, cardiomyopathy, alcohol withdrawal, and anxiety. Some of the side effects that we see with this drug are bradycardia C and pulmonary edema.
Let’s take a look at a few nursing considerations for propranolol monitor your patient’s hemodynamics, including heart rate and blood pressure, and also monitor their intake and output Pols contraindicated in patients with CHF, pulmonary edema, cardio shock, bradycardia and heart block specifically second and third degree, heart block use caution in patients who have diabetes melitis as their symptoms can be masked by propranolol. Do not stop this medication abruptly because life threatening arrhythmias can a teach your patient to change position slowly, how to take their blood pressure and instruct them to notify their provider. If they have any difficulty with breathing guys, patients need to report any major diet changes to their provider. This is because switching to something like a high protein rich diet, it may increase the bio availability of propranolol by up to 50% and can lead to more side effects in the patient. That’s it for propranol or Enderol now go out and be your best self today and as always happy nursing.
Pharmacololgy/Dosage Calc
Concepts Covered:
- Upper GI Disorders
- Anxiety Disorders
- Depressive Disorders
- Medication Administration
- Disorders of the Posterior Pituitary Gland
- Respiratory Disorders
- Female Reproductive Disorders
- Neurologic and Cognitive Disorders
- Shock
- Cardiac Disorders
- Cardiovascular Disorders
- Urinary Disorders
- Pregnancy Risks
- Disorders of Pancreas
- Liver & Gallbladder Disorders
- Hematologic Disorders
- Substance Abuse Disorders
- Nervous System
- Personality Disorders
- Dosage Calculations
- Urinary System
- Learning Pharmacology
- Immunological Disorders
- Test Taking Strategies
- Prefixes
- Suffixes
- Labor Complications
- Intraoperative Nursing
- Prenatal Concepts
- Postpartum Complications
- Bipolar Disorders
- Psychotic Disorders
- Postoperative Nursing
- Central Nervous System Disorders – Brain
- Peripheral Nervous System Disorders
- Vascular Disorders
- Lower GI Disorders
- Acute & Chronic Renal Disorders
- Disorders of the Thyroid & Parathyroid Glands
- Gastrointestinal Disorders
- Neurological
- Noninfectious Respiratory Disorder
- EENT Disorders
- Male Reproductive Disorders
- Infectious Respiratory Disorder
- Microbiology
- Emergency Care of the Cardiac Patient
- Musculoskeletal Trauma
- Integumentary Disorders
- Disorders of the Adrenal Gland
- Sexually Transmitted Infections
- Adult
- Concepts of Pharmacology