A patient with heart failure is prescribed metoprolol (Toprol XL) 25 mg daily. The pharmacy sends metoprolol (Lopressor) 25 mg. What is the nurse's best action?
a. Give the dose as provided because the drugs are the same.
b. Ask the pharmacy to send the drug as ordered.
c. Contact the prescriber for clarification.
d. Check the patient's heart rate before giving the dose.
B
When prescribed to treat heart failure, only the sustained-release form of metoprolol is used. Metoprolol (Toprol XL) is the sustained-release form of the drug, whereas metoprolol (Lopressor) is not.
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