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Know Your Drugs: Metoprolol

Test for credit

You must answer all 5 questions correctly to receive 30 minutes continuing education. Choose the best answer.

1. Metoprolol may be indicated for patients with suspected cardiac events who's...
Onset of symptoms are greater than 12 hours
 EKG indicates AMI
 Onset of symptoms are less than 12 hours
 Chest pain which is associated with nausea
2. The reason we give Metoprolol is to...
Reperfuse the heart muscle
 Sedate the cardiac patient
 Decrease heart rate, blood pressure, and contractile force
 Increase contractility
3. To give Metoprolol we must confer with an ER physician (our medical control). Some reasons that we may be DENIED the order include the following EXCEPT:
Tachycardia, heart rates above 100
 Bradycardia, heart rates below 60
Hypotension, BP below 90 systolic
 Heart Blocks, 1st degree with PR > 0.24 or higher degree heart blocks
4. After receiving orders for Metoprolol, we would give...
5 to 15 mg IVP
Mix into 1000 cc normal saline to make a 5 to 1 drip
 5 mg over 1 minute and may repeat in 5 minutes to a maximum dose of 15 mg
 5 mg over 1 minute and may give second dose of 10 mg over 2 minutes
5. To be able to give the repeat dose a patient must...
Be accessed by Pace
 Continue complaint of chest pain.
 Request same
 Maintain a heart rate above 60 and blood pressure above 90