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Atenolol Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses

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Atenolol
Generic Name: atenolol
Trade Name: Tenormin
Indication: hypertension, angina, prevention of MI Action blocks the stimulation of beta1 receptors in the SNS with minimal effect on beta2 receptors
Therapeutic Class:
antianginal, antihypertensive 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 associated with diabetes mellitus
 advise to change positions slowly to prevent orthostatic hypotension
 instruct patient on how to take blood pressure

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