A nurse prepares to administer propranolol [Inderal] to a patient recovering from acute myocardial infarction. The patient's heart rate is 52 beats/min, and the rhythm is regular. What action should the nurse take next?

Question

Quizplus · Accepted Answer

A beta blocker, such as propranolol, should not be given if the pulse is lower than 60 beats/min; therefore, the nurse should withhold the dose and notify the prescriber. Administering the dose as prescribed would not be appropriate, because the patient's pulse rate is too slow at this time. The dose should be withheld and the prescriber notified. The patient's heart rate is slow, and atropine may be necessary if the bradycardia persists, but the first step is to withhold the dose of propranolol. Withholding the dose and documenting the pulse rate is an appropriate but incomplete nursing intervention. The nurse must notify the prescriber to obtain further orders related to the medication.

A Nurse Prepares to Administer Propranolol [Inderal] to a Patient