11.05 Propranolol (Inderal)
hypertension, angina, arrythmias, cardiomyopathy, alcohol withdrawal, anxiety
blocks Beta 1 and 2 adrenergic receptors
antianginal, antiarrhythimic (class II beta blockers), antihypertensive, headache suppressant
• 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
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nursing.com/cornell