Question

1. Beta Blockers, ARBS, nitrates, ACEI, CCBs, procainamide, (indications for, withdrawal from, precautions necessary when using, expected effects, side effects, contraindications - for example beta blocker use for patient with AV blocks or conditions that include a bronchospastic sublingual component) - also be aware of needed patient education (for example, how to use nitro)

Answer 1

BETA BLOCKERS:

Indications;

Increased blood pressureangina pectoris,atrial fibrillation,cardiac arrhythmia,congestive heart failure,glaucoma,myocardial infartcion.thyrotoxicosis,hypertrophic obstructive cardiomyopathy,migraine.

withdrawal:

Abrupt withdrawal of betablockers can lead to rebound effect characterised b tachycardia an dhypertension.patints with ischemic heart disease may have exacerbation of angina or acute ischemic events.

precautions;

people should talk to doctor before taking drug if they have following problems:

• asthma
• broncjospasm
• severe peripheral arterial disease including Raynaud's syndrome
• slowheart rate
• uncontrolled heart failure

effects:

heart:decreases heart rrate,force of contraction and cardiac otput.

blobodvessels:blocks vasodilation

respiratory tract:increases bronchial resistanceby blocking dilator b2 receptors.

metabolic effecrts:blocks adrenergically inducd ipolysisand consequent increasevin plasma free fatty acids.

skeletal muscle;:ingibits adrenergcally provoked tremor.

eye:reduce secretions of aqu ous humour