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Carvedilol
| Question | Answer |
|---|---|
| Carvedilol, T, P | T: HTN P: Selective adrenergic beta blocker |
| Carvedilol MOA | Selectively antagonizes alpha 1 adrenergic receptors; antagonizes beta 1 and beta 2 adrenergic receptors (selective alpha and nonselective beta blockers) |
| SE of carvedilol | Dizziness, fainting, weight gain, hyperglycemia, diarrhea, bradycardia, may worsen HF, mask symptoms of hypoglycemia |
| Contraindications of carvedilol | Caution with lung disease/asthma, 2nd/3rd degree heart block, SSS, severe bradycardia |
| Nursing considerations for carvedilol | HR/BP, daily weights, assess for FVO, edema, dyspnea, crackles, fatigue, JVD. |
| Criteria for holding carvedilol. | Report wt gain or loss of 1kg within 24 hours. Hold for bp 90/60, do not stop abruptly, report mood changes. |