Propranolol (Inderal) Nursing Considerations

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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

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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.

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