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Interactions with other patient drugs, OTC or Lab value alterations caused by medicine
herbal medicines (ask patient specifically) May cause increased BUN, serum lipoprotein, potassium, triglyceride,
May alter the effectiveness of insulins or oral and uric acid levels. May cause increase in blood glucose levels
hypoglycemic agents (dosage adjustments may be Be sure to teach the patient the following about this
necessary) medication
Instruct patient to take atenolol as directed at the same time each day,
even if feeling well. Patients with diabetes should closely monitor
blood glucose, especially if weakness, malaise, irritability, or fatigue
occurs. Medication does not block sweating as a sign of hypoglycemia.
Reinforce the need to continue additional therapies for hypertension
(weight loss, sodium restriction, stress reduction, regular exercise,
moderation of alcohol consumption). Medication controls but does not
cure hypertension
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give this Check after giving
Monitor blood pressure, ECG, and pulse med? Decrease in blood pressure
frequently during dosage adjustment period Monitor intake and output ratios and daily
and periodically throughout therapy. weights. Assess routinely for CHF (dyspnea,
rales/crackles, weight gain, peripheral edema,
jugular venous distention)
Monitor patients receiving beta blockers for
signs of overdose (bradycardia, severe
dizziness or fainting, severe drowsiness,
dyspnea, bluish fingernails or palms,
seizures). Notify physician immediately if
these signs occur