CVS: Bisoprolol

Question 1

What class of Meds is Bisoprolol?

Answer 1

Beta blocker

Question 2

What does Bisoprolol treat? (3 things)

Answer 2

1. HTN
2. HF
3. AF

Question 3

What is the GENERAL MOA of Bisoprolol? (3 things)

Answer 3

1. Decreases HR (chronotropy)
2. Decreases contractility (inotropy)
3. Reduced BP

Question 4

What is the IN-DEPTH MOA of Bisoprolol? (4 steps)

Answer 4

1. B1-adrenoreceptor antagonism
2. Blocks Epinephrine neurotransmitter from agonising B1-adrenoreceptor
3. Decreases HR + BP
4. Decreases cardiovascular work (aka contractility)

Question 5

What route should Bisoprolol be given?

Answer 5

Oral

Question 6

What are the Min / Max Doses for Bisoprolol?

Answer 6

• Min: 5mg OD
• Max: 20mg OD

Question 7

What are the Monitoring Requirements for Bisoprolol?

Answer 7

Monitor lung function (if Hx of Obstructive airway diseases)

Question 8

What are the Side fx of Bisoprolol? (4 things)

Answer 8

1. Headache
2. Nausea
3. Cold hands / feet
4. Diarrhoea / constipation

Question 9

What are the CI for taking Bisoprolol? (9 things)

Answer 9

1. Asthma
2. Cardiogenic shock
3. Hypotension
4. Bradycardia
5. Metabolic acidosis
6. Pheochromocytoma
7. 2^nd / 3^rd degree HB
8. PAD
9. Sick sinus syndrome

Question 10

When should Bisoprolol be used with Caution? (8 things)

Answer 10

1. DM
2. 1^st degree HB
3. Hx of obstructive airway disease
4. Mysathenia gravis
5. Portal HTN (liver function can deteriorate)
6. Psoriasis
7. Hypoglycaemia (can mask symptoms)
8. Thyrotoxicosis (can mask symptoms)