Metoprolol (Lopressor, Toprol XL)

ATI-format individual drug card with NCLEX-focused assessment, safety, teaching, and source attribution.

Back to meds
CardiacEndocrineneeds review

Metoprolol (Lopressor, Toprol XL)

ATI class: Beta blocker / Beta1-selective adrenergic blocker

Action

  • Slows heart rate and decreases myocardial workload.

Therapeutic use

  • Hypertension
  • Angina
  • Heart failure
  • Rate control
  • Post-MI support

Nursing assessment

  • Check apical pulse, blood pressure, rhythm, heart failure status, and diabetes hypoglycemia awareness.

Administration

  • Verify route against the order and source table.

Side effects

  • Fatigue
  • Dizziness
  • Bradycardia

Adverse effects

  • Symptomatic bradycardia
  • Hypotension
  • Heart block
  • Worsening heart failure

Interactions

  • Calcium channel blockers
  • Digoxin
  • Insulin or oral hypoglycemics
  • Other antihypertensives

Contraindications

  • Severe bradycardia
  • Second or third degree heart block without pacing
  • Cardiogenic shock

Precautions

  • Do not stop abruptly; use caution with asthma/COPD and diabetes.

Client teaching

  • Check pulse if taught.
  • Change positions slowly.
  • Do not stop suddenly.
  • Report shortness of breath, swelling, syncope, or very slow pulse.

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

  • Check pulse and BP before giving.
  • Beta blockers can mask tachycardia from hypoglycemia.
  • Abrupt withdrawal can worsen angina or hypertension.

Medication classes

Beta blockers

Source attribution

Engage_MedTable_Metoprolol (3).pdf
ati-pdf
Google Drive source topic: Hypertension
google-drive
Sentinel pharmacology API reference
sentinel-api
Manual ATI-format NCLEX normalization
manual-seed

Related study cards

Shows the medication class, ATI cues, source references, and connected study cards for this drug.

12 study links
Med classmedication class
Beta blockers

Blocks beta stimulation so heart rate, contractility, and blood pressure can decrease.

ATI cueNCLEX Priority Cue
Abrupt withdrawal can worsen angina or hypertension.

ATI medication nclex priority cue concept.

ATI cueTherapeutic Use
Angina

ATI medication therapeutic use concept.

ATI cueClass
Beta blocker

ATI medication class concept.

ATI cueNCLEX Priority Cue
Beta blockers can mask tachycardia from hypoglycemia.

ATI medication nclex priority cue concept.

ATI cueClass
Beta1-selective adrenergic blocker

ATI medication class concept.

ATI cueSide Effect
Bradycardia

ATI medication side effect concept.

ATI cueInteraction
Calcium channel blockers

ATI medication interaction concept.

ATI cueContraindication
Cardiogenic shock

ATI medication contraindication concept.

ATI cueClient Teaching
Change positions slowly.

ATI medication client teaching concept.

ATI cueNursing Assessment
Check apical pulse, blood pressure, rhythm, heart failure status, and diabetes hypoglycemia awareness.

ATI medication nursing assessment concept.

ATI cueNCLEX Priority Cue
Check pulse and BP before giving.

ATI medication nclex priority cue concept.