Maximum dose of metoprolol IV in a single administration?

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Forrest Shirkey
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Joined: 10/27/2017 - 19:16
Maximum dose of metoprolol IV in a single administration?

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.