Does anyone have a hospital policy that limits the dose of metoprolol IV (push or infusion) that may be given to a patient at one time?
The best info I can find is that doses of 2.5 to 5 mg may be given at one time, but may be repeated every 5 minutes (max dose of 15 mg).
We have seen doses of 7.5mg and 10mg ordered here. We typically restrict IV push to tele/ICU floors only, the other non-ICU/non-tele areas will get metoprolol in an IVPB.
Would appreciate your thoughts and hospital specific practice on this issue.