Carvedilol (Coreg)
ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.
Carvedilol (Coreg)
ATI class: Beta blocker / Alpha1 and nonselective beta adrenergic blocker
Action
- ATI/source-folder candidate for Carvedilol (Coreg); verify mechanism against the source table before validation.
Therapeutic use
- Review under Heart Failure medication safety.
Nursing assessment
- Check blood pressure and pulse before dosing.
- Assess heart failure status, daily weight trend, edema, lung sounds, and activity tolerance.
- Monitor orthostatic symptoms and fall risk.
- Assess diabetes medications and hypoglycemia cues.
Administration
- Verify route against the order and source table.
Side effects
- Verify common side effects against the source table.
Adverse effects
- Bradycardia
- Hypotension
- Dizziness
- Worsening heart failure during initiation or titration
- Bronchospasm
Interactions
- Digoxin
- Diltiazem or verapamil
- Other antihypertensives
- Insulin or oral hypoglycemics
- CYP2D6 inhibitors
Contraindications
- See source-specific contraindications and precautions before administration.
Precautions
- Severe bradycardia, heart block without pacing, cardiogenic shock, or severe hepatic impairment.
- Use caution with asthma/COPD, diabetes, peripheral vascular disease, and fluid overload.
- Titrate carefully in heart failure and do not stop abruptly.
Client teaching
- Take with food if prescribed to reduce orthostatic symptoms.
- Report swelling, rapid weight gain, shortness of breath, fainting, or very slow pulse.
- Rise slowly and follow daily weight instructions.
Medication outcomes
- Therapeutic response with no priority adverse effects.
Antidote / rescue
- No specific antidote is seeded; hold/question unsafe doses and manage toxicity per provider, facility, or poison-control guidance.
NCLEX priority cues
- Acute pulmonary edema or worsening dyspnea is priority.
- Symptomatic bradycardia is not routine fatigue.
- Abrupt withdrawal can worsen angina or blood pressure.
Medication classes
Source attribution
Related study cards
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Blocks beta stimulation so heart rate, contractility, and blood pressure can decrease.
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