Propranolol (Inderal) Nursing Considerations

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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