2. Beta Blockers

Question 1

Be A MAN

Cardioselective therefore less btonchospasm therefore can be given to stable asthma pts if no other option available

Answer 1

B - bisoprolol

A - atenolol

M - metoprolol

A - acebutol

N - nebivolol

Question 2

Beta blocker
What is it

What does it Tx

Answer 2

Beta blockers, also called beta adrenergic blocking agents, block the release of the stress hormones adrenaline and noradrenaline in certain parts of the body. This results in a slowing of the heart rate and reduces the force at which blood is pumped around your body.

Tx for:
angina, heart failure and some heart rhythm disorders, and to control blood pressure.

Question 3

BB

CI

Answer 3

asthma; cardiogenic shock; hypotension; marked bradycardia; metabolic acidosis; phaeochromocytoma (apart from specific use with alpha-blockers); Prinzmetal’s angina; second-degree AV block; severe peripheral arterial disease; sick sinus syndrome; third-degree AV block; uncontrolled heart failure

Question 4

Never give a BB with this rate limiting CCB

Answer 4

Verapamil

Injection or oral both! Avoid!!!

Can cause asystole flatline

Question 5

CANS

Water soluble
Reduce dose in re al patients
Less SE Nightmares, less sleep disturbance
Doesn’t cross BBB

Answer 5

C - celiprolol

A- atenolol

N - nadalol

S - SOTALOL

Question 6

Beta blockers

List

Answer 6

atenolol 
bisoprolol 
carvedilol.
esmolol.
metoprolol 
nebivolol (in hypertension 70+)
propranolol

Question 7

Insulin dependent diabetes + BB

Can cause:

Answer 7

the symptoms of hypoglycemia

Question 8

Non insulin dependent diabetes + BB

Can cause

Answer 8

increase blood glucose concentrations and antagonize the action of oral hypoglycemic drugs.

Question 9

BB - groups

1 BACN
2 ice PACO
3 CANS
4 Be A MAN

Answer 9

1 given only once a day

2 less SE extremities, bradycardia

3 water soluble doesn’t cross BBB, no nightmares

4 cardioselective, give asthma

Question 10

BACN

these BB given only ONCE daily due to LONG duration of action

Most BB given as BD or TDS

Answer 10

B- bisoprolol

A- atenolol

C- celiprolol

N- nadolol

Question 11

Best BB to give in diabetic pts

Answer 11

Carvedilol

Question 12

ice PACO

Less SE of

cold extremities & less risk of bradycardia

Answer 12

P - pindolol

A - acebutol

C - Celiprolol

O - oxprenolol

Question 13

BB

SE

Answer 13

Abdominal discomfort; bradycardia; confusion; depression; diarrhoea; dizziness; dry eye (reversible on discontinuation); dyspnoea; erectile dysfunction; fatigue; headache; heart failure; nausea; paraesthesia; peripheral coldness; peripheral vascular disease; rash (reversible on discontinuation); sleep disorders; syncope; visual impairment; vomiting