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Beta blocker example
Carvedilol (Coreg)
Beta blocker use
chronic stable HFrEF, protects heart, improves survival
Beta blocker effects on body
heart works less overtime (slow HR, lower BP)
Beta blocker contraindicated
acute decompensated HF or shock, severe bradycardia, heart block, severe asthma
Beta blocker side and adverse effects
masks signs of hypoglycemia, fatigue, dizziness, slow pulse, low BP, fluid gain at start
Beta blocker give and check
Oral, twice daily with food; start low, go slow
Apical pulse, BP first; hold if HR < _____ or SBP < _____
60, 90
Beta blocker client education
never stop suddenly, take with food, weight daily, check pulse, low glucose signs may be hidden
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Beta blocker CJMM
Recognize Cues: HR 54, BP 98/60, tired.
Take Action: Hold, call, recheck; fall precautions.
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