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Wheezing
💁♂️Metoprolol, although β1-selective, can still precipitate bronchoconstriction at higher doses or in sensitive airways, making wheezing the key finding to monitor.
⚠️The presence of wheezing signals airflow limitation from bronchospasm, which represents a clinically significant respiratory adverse effect.
🩺Monitoring for wheezing emphasizes respiratory assessment priorities when β-blockers are used in asthma, a known high-risk scenario.
💡Because selectivity is dose-dependent, even cardioselective agents can impair β2-mediated bronchodilation, heightening the risk of bronchospasm.
📌Core Message
In clients with asthma receiving metoprolol, vigilant assessment for wheezing is crucial because β1-selectivity is imperfect and can still trigger bronchoconstriction.
This question is from ATI RN Pharmacology 2024 Exam-2 which contains 49 questions.
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