BB

Question 1

Water soluble beta blockers

Answer 1

CANS
(Celiprolol, Atenolol, Nadaolol, Sotalol)

Crosses the BBB less therefore less nightmares and sleep disturbance.

Question 2

Cardioselective Beta blockers

Answer 2

A BIG MEAN NURSE ADMINISTERS
(Atenolol, bisoprolol, metoprolol, nebivolol. acebutalol)

Cause less bronchospasm

Question 3

Long acting beta blockers

Answer 3

BANC
(Bisoprolol, Atenolol, nadaolol, celiprolol)

Given one daily whereas short acting bb are given 2-3 times a day

Question 4

Intrinsic sympathomimetic activity

Answer 4

OAPC
(Celiprolol, Oxprenolol, Acebutalol, Pindolol)

They cause less coldness of fingers and toes and less bradycardia

Question 5

Beta blocker CI

Answer 5

Bronchospams - if no alternative use cardioselective BB under specialist supervision

Question 6

Side effects of Beta blockers

Answer 6

Bradycardia
Dry eye
Erectile dysfunction
Fatigue
Sleep disorders
Depression

Question 7

Beta blocker OD and management

Answer 7

Can occur via IV injection causing excessive bradycardia with symptoms if dizziness, light headiness and syncope

Treatment: Atropine sulfate

Question 8

Pregnancy and beta blockers

Answer 8

Avoid

Question 9

Treatment cessation beta blockers

Answer 9

Avoid abrupt withdrawal as can cause rebound Myocardial Ischaemia