BEE ENN COLLEGE OF NURSING
DRUG PRESENTATION
ON
PROPRANOLOL
SUBMITTED TO SUBMITTED BY
MADAM KUSUM LATA SAHIL NAZIR
ACADEMIC CO-ORDINATOR MSC(N 1ST YEAR
BECON BECON
SUBMITTED ON
INTRODUCTION
Propranolol is a type of medicine called a beta blocker. Like other beta blockers, propranolol
works by changing the way your body responds to some nerve impulses, including in the
heart. It slows down your heart rate and makes it easier for your heart to pump blood around
your body.
DEFINITION
This medication is a beta blocker used to treat high blood pressure, irregular heartbeats, shaking
(tremors), and other conditions. It is used after a heart attack to improve the chance of survival. It
is also used to prevent migraine headaches and chest pain (angina). Lowering high blood
pressure helps prevent strokes, heart attacks, and kidney problems. Preventing chest pain can help
improve your ability to exercise.This drug works by blocking the action of certain natural
chemicals in your body (such as epinephrine) that affect the heart and blood vessels
GENERIC NAME:-propranolol(pro pran oh lol)
BRAND NAME:-hemangeol,inderal la
INDICATIONS
Hypertension.
Arrhythmias
Tremors
Migraine
Chest pain.
Ventricular tachycardia
MODE OF ACTION
PROPRANOLOL
Selectively blocks the B1 receptors in heart
Decreases force of contraction and heart rate and cardiac output
Decreases blood pressure
CONTRAINDICATIONS
Reversible airway diseases, particularly asthma or chronic obstructive pulmonary
disease (COPD)
Slow heart rate (bradycardia) (<60 beats/minute)
Sick sinus syndrome
Atrioventricular block (second- or third-degree)
Shock
Severe low blood pressure
SIDE EFFECTS/ADVERSE REACTIONS
Anxiety
dry mouth
hyperventilation
irritability
restlessness
shaking
sleepiness or unusual drowsiness
trouble sleeping
unusual dreams
Chest tightness
Cough producing mucus
DOSAGE
For acute heart attack:
o For oral dosage form (solution):
Adults—180 to 240 milligrams (mg) per day, given in divided doses.
Children—Dose is based on body weight and must be determined by your doctor.
o For oral dosage form (tablets):
Adults—At first, 40 milligrams (mg) three times a day. Your doctor may increase
your dose as needed.
Children—Use and dose must be determined by your doctor.
NURSING RESPONSIBILITY
The nurse should conduct a through out assessment to ensure that propranolol is the
appropriate medication for the patient condition.
Review the patients medical history including allergies and current
Propranolol may be given orally or intravenously.Nurses administers it following the
prescribed route and ensures the patients comfort and safety.
After administration nurses monitor the patient for any adverse reaction, changes in
vital signs or other side effects.
They document the administration, including the date, time, dose and the patient’s
response.
Nurses concern any issues to the health care team.
Nurses inform the patient about the medication, its purposes and potential side effects
to patient and family.
BIBLIOGRAPHY
Knights,k & Kathleen,B 2011,Pharmacology for health professionals,page no 223-245
onwards.
https://www.drug.gov/publications/drugfacts/propranolol
www.drugfree.org
www.thebetablockers.com
