Question

A patient who has diabetes will be started on Metoprolol for medical management of coronary artery disease. Which of the following will you include in your discharge teaching about this medication?

A. Check your heart rate regularly because Metoprolol can cause an irregular heart rate.

B. Check your glucose regularly because this medication can cause hyperglycemia.

C. Check your blood pressure regularly because this medication can cause hypertension.

D. Check your glucose regularly because this medication can mask the typical signs and symptoms of hypoglycemia.

Answer 1

Patients with diabetes who are prescribed Metoprolol should be instructed to regularly monitor their blood glucose levels as the medication can mask the signs and symptoms of hypoglycemia.Hence, option D is the correct answer.

Step-by-step explanation:

A patient with diabetes who is started on Metoprolol for medical management of coronary artery disease should be advised to check their glucose levels regularly. Metoprolol, a beta-blocker, can mask the typical signs and symptoms of hypoglycemia. These symptoms include things like tremors, sweating, and palpitations, which the medication can blunt, making it difficult for patients to recognize low blood sugar levels. Therefore, it is crucial for patients on Metoprolol to monitor their blood glucose levels to prevent undetected hypoglycemia.

Beta-blockers such as Metoprolol work by blocking the beta receptors in the heart, leading to decreased heart rate, reduced demand for oxygen by the heart, and relaxed blood vessels. While these effects are beneficial for treating heart conditions, it's essential for patients with diabetes to be aware of the potential for altered glucose regulation.