Patient Teaching
Beta blockers are a powerful group of drugs. They require careful teaching for proper patient use and compliance.
Side EffectsCardiac: Heart failure AV block Sinus arrest Bradycardia Orthostatic hypotension Angina Hypotension (secondary to reduced cardiac output) Respiratory: In patients with asthma, blocking beta2, receptors in the lungs can cause bronchospasms. Bradypnea Reflex tachypnea |
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Patient ActionsAdvise patients to:
Rise slowly to sitting or standing position to minimize risk. Report bradycardia, dizziness, confusion, depression and fever. Take pulse at home and to notify prescriber if it drops below 60 bpm. Comply with weight control, dietary adjustment, and their modified exercise program if their HCP has made any changes. Wear support hose to minimize effects of orthostatic hypotension Do not discontinue product abruptly; taper medication slowly over a 2 week period. May precipitate angina. Abrupt withdrawal can cause: life-threatening arrhythmias, hypertension, or myocardial ischemia Comply with dosage schedule, even if feeling better. Educate patient on how to take blood pressure at home and advise them to take it weekly and report any significant changes to their PCP. Caution patient that these medications can cause an increased sensitivity to cold. Emphasize the importance of follow up exams to monitor progress. |