1-atenolol part 1

8/3/2019 1-Atenolol Part 1

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Atenolol


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Lifestyle changes such as stress reduction programs,exercise and dietary changes may increase the effectiveness

of this medicine.
http://www.medicinenet.com/script/main/art.asp?articlekey=488http://www.medicinenet.com/script/main/art.asp?articlekey=488


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Class of drug : -Adrenergic receptor blocker.


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Indications:-:-

-1 high blood pressure
http://www.medicinenet.com/script/main/art.asp?articlekey=378http://www.medicinenet.com/script/main/art.asp?articlekey=378


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Initial: PO 50 mg/d. Maximum: 100 mg/d.

PO=oral d=day

50100

-2 treat chest pain ( angina )

Initial: PO 50 mg/d. Maintenance: 100200 mg/d.

Maintenance =

-3Ventricular arrhythmia

Dose : PO 50100 mg/d.

-4Acute Myocardial Infarction
http://www.medicinenet.com/script/main/art.asp?articlekey=262http://www.goldagegroup.com/images/angina.jpghttp://www.medicinenet.com/script/main/art.asp?articlekey=262


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5-prevent migraine headaches.

* Adjustment of dosage
http://www.medicinenet.com/script/main/art.asp?articlekey=417http://migrainesymptoms.net/Migraine%20Symptoms.jpghttp://www.nlm.nih.gov/medlineplus/ency/images/ency/fullsize/17004.jpghttp://www.medicinenet.com/script/main/art.asp?articlekey=417


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Kidney disease: creatinine clearance 1535 mL/min:50 mg/d;

creatinine clearance


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Lactation: Appears in breast milk. Considered compatible by the

American Academy of Pediatrics. Observe infant for hypote n sion, bradycardia,

What should I discuss with my healthcare provider before taking atenolol?

Before taking atenolol, tell your doctor if you have:

-1Asthma , Bronchitis
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-2emphysema ;

-3diabetes
http://www.health.com/health/static/hw/media/medical/hw/h9991437_001.jpg


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-4low blood pressure

-5a heart problem such as heart block, sick sinussyndrome, slow heart rate, or congestive heart failure;

-6depression
http://heartheavy.com/wp-content/uploads/Congestive-Heart-Failure.jpghttp://www.medicalook.com/diseases_images/diabetes1.jpg


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-7liver disease

-8kidney disease
http://www.hivandhepatitis.com/0_images_2008/fatty2.gifhttp://www.depressiontreatmenthelp101.com/wp-content/uploads/2011/04/1.jpg


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-9a thyroid disorder

-10myasthenia gravis ( autoimmune neuromuscular)
http://www.thyroiduk.org.uk/tuk/images/thyroid.jpghttp://genericlook.com/img/uploads/disease/kidney-disease.jpg


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-11Pheochromocytoma ( tumor of the adrenal glands)

-12problems with circulation (such as Raynaud'ssyndrome).
http://images.lifescript.com/images/ebsco/images/si55551627_ma.jpghttp://3.bp.blogspot.com/-zc3pD3i1HTc/Td_CZuDvgtI/AAAAAAAAAC8/wNKxumC0L1o/s1600/Nursing+Diagnosis+for+Myasthenia+Gravis.jpg


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-2Cardiogenic shock

-3Asthma

- 4CHF

unless it is
http://www.scottishintensivecare.org.uk/Assets/images/induction/shock/cardiogenic.jpghttp://www.nlm.nih.gov/medlineplus/ency/images/ency/fullsize/19150.jpg


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secondary to tachyarrhythmia treated with a blocker

severe

-5COPD.= Chronic obstructive pulmonary disease

Warnings/precautions
http://www.google.com.eg/url?sa=t&source=web&cd=1&ved=0CCAQFjAA&url=http%3A%2F%2Fen.wikipedia.org%2Fwiki%2FChronic_obstructive_pulmonary_disease&ei=N_tVTrafHsLFswb4h9SdCw&usg=AFQjCNFYkUmHlcQFeGHTh06I8dqTuEKfBw&sig2=uuglHUWuaz2_lhdzK3NBIAhttp://img4.blogs.yahoo.co.jp/ybi/1/74/33/ikeyanman_office/folder/350905/img_350905_6228302_1?1280507420http://www.heart-problems.net/uploads/allimg/100322/1_100322172433_1.jpghttp://www.google.com.eg/url?sa=t&source=web&cd=1&ved=0CCAQFjAA&url=http%3A%2F%2Fen.wikipedia.org%2Fwiki%2FChronic_obstructive_pulmonary_disease&ei=N_tVTrafHsLFswb4h9SdCw&usg=AFQjCNFYkUmHlcQFeGHTh06I8dqTuEKfBw&sig2=uuglHUWuaz2_lhdzK3NBIA


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-1Use with caution in patients with the followingconditions:

diabetes, kidney disease, liver disease, COPD, peripheral vascular

disease.

-2 used with caution in diabetic patients if a beta-blocking agent is required.

Beta blockers may mask tachycardia occurring withhypoglycemia

-3 Do not stop drug abruptly as this may precipitatearrhythmias,

angina, MI or cause rebound hypertension

-4 If necessary to discontinue , taper as follows:Reduce dose by 2550% and reassess


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after 12 weeks. If status is unchanged,reduce by another 50%and reassess

after 12 weeks.

-5Drug may mask the symptoms of hyperthyroidism,mainly

tachycardia.

1-atenolol part 1

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