How Do Beta Blockers Work? (Selective and Nonselective)

Beta-blockers are most commonly used to treat hypertension ... but did you know there are many more reasons they are used? Nurses and healthcare providers need to be aware of the uses, the side effects, patient teaching, clinical considerations, and special uses of beta-blockers in conditions from anxiety to glaucoma to ventricular tachycardia. Beta-blockers have a lot to offer.
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Time Stamps
00:00 introduction to Beta Blockers
00:37 What is the difference between beta-blockers?
01:35 What Beta Blockers Prevent in the Body
02:00 Fight or Flight Response
02:25 Norepinephrine and Epinephrine (Noradrenaline and Adrenaline)
03:54 Cardiac output = heart rate x stroke volume
05:11 Who is prescribed a beta-blocker
05:52 How to identify a beta-blocker ~LOL
06:29 Beta 1 and beta 2 blockers - how to identify the difference
09:22 Side effects of beta-blockers
11:06 3 really really important clinical considerations of beta-blockers
13:11 Special considerations for beta-blockers, NCLEX tips
14:50 Patient teaching about beta-blockers
16:20 NCLEX question and review
In this video, we cover the need to know content for nurses caring for patients on beta-blockers or newly prescribed beta-blockers. An exploration into tips to help remember the difference between beta 1 (selective) and beta 2 (nonselective) beta blockers will help you quickly identify how your patient’s medications are working for them and could be potentially the cause of some of their symptoms.
Recall that hypertension is a silent killer and people do not have symptoms. The moment we start treating it, the pharmacological interventions we use will have side effects, and encouragement and education will be key in keeping your patients on track to reduce the risk of cardiac death.
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Пікірлер: 150

  • @katekotliar7236
    @katekotliar72363 жыл бұрын

    Thank you a lot!!! You are the best teacher for me, everything is so clear!!!Thank you one more time!

  • @chloeleggett4651
    @chloeleggett46512 жыл бұрын

    This has made everything so much clearer now! and helped me understand what a Beta blocker is and the difference between beta 1 and beta 2. Thank-you SO SO much from a very grateful 3 week away newly qualified nurse! xxx

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Ah! This message made my day :)

  • @angelmelendez2468
    @angelmelendez2468 Жыл бұрын

    Thank you for taking the time to present this . very insightful TY

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Thank you for writing! Appreciate it

  • @galactictiger2741
    @galactictiger27413 жыл бұрын

    yay! I am so happy I found your channel! I am soon heading into my integration and preceptorship semester of nursing and I really like your presentation of topics. Thanks for doing this! :) I will be watching a lot in the coming weeks!

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Awesome! Happy to help :). I hope you subscribe and share with your classmates

  • @cashsilas3047

    @cashsilas3047

    2 жыл бұрын

    i know Im randomly asking but does anybody know of a tool to log back into an instagram account?? I stupidly forgot my password. I would love any assistance you can give me

  • @sethdarko3434
    @sethdarko34343 жыл бұрын

    You are really good lecturer for how you used A-M to adentify beta 1 selector. You have really made it easy for me as I had been struggling to grasp this simple concept. Thanks

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    😊

  • @drSJV
    @drSJV2 жыл бұрын

    Your videos are great, seems like you have fun creating them ☺️ Thank you!

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    I sure do. Been on a break from creating and need to jump back i

  • @mariesaintonge-davidson4816
    @mariesaintonge-davidson48166 ай бұрын

    Thank you very much for this! I’m not a nurse or a student nurse, but this answered many questions I had about the beta blockers, which have been prescribed for me over the past several years.

  • @NurseMinder

    @NurseMinder

    6 ай бұрын

    Awesome! So happy it helped

  • @ahlamhlimi386
    @ahlamhlimi3863 жыл бұрын

    omg that was so helpful. Thank you so much!!

  • @annlim7485
    @annlim74852 жыл бұрын

    Wow! So clear, concise and easy to understand. This is very helpful. Thank you. ❤️

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Thank you for sharing!

  • @caroleschachinger2593
    @caroleschachinger25932 ай бұрын

    What a well presented and very comprehensive review of Beta Blockers. I just discovered and joined your excellent channel today and am looking forward to more of your videos. 👍👍👍👍

  • @NurseMinder

    @NurseMinder

    2 ай бұрын

    Thank you

  • @suefuller3014
    @suefuller3014 Жыл бұрын

    Loved the video. It is very informative. I really like the two reviews question at the end of the video. I got both questions correct, because of you easy to understand the different beta blockers and their uses. Thank you

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Amazing 🤩

  • @kawooyaedris9141
    @kawooyaedris9141 Жыл бұрын

    wow best teacher ever never thought will ever understand this but you made it so easy and simple for me to understand. A million thanks

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Ah! This made my day. Thank you

  • @godschild7393
    @godschild73932 жыл бұрын

    Omg , I learnt a loooot thank you. Never knew I was gonna be able to understand drugs . You are my saviour

  • @marcellinelitus5295
    @marcellinelitus52954 жыл бұрын

    I love the breakdown of this topic!

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Thanks!

  • @aericawifeofexo
    @aericawifeofexo3 жыл бұрын

    Thank youuu for the videoooo. I love it. Hoping for more contents to come❤❤❤

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Awesome. Thanks for taking the time to write - new videos every Tuesday at a minimum

  • @ana_mar_val
    @ana_mar_val3 жыл бұрын

    What a good lecture. Very good explanation in a short video. PERFECT !!! Thanks

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Thanks!!

  • @shaikirby6287
    @shaikirby62873 жыл бұрын

    couldn't subscribe fast enough! thank you!!

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Ah! That is so sweet of you to share. Made my day

  • @toyalambeth366
    @toyalambeth366 Жыл бұрын

    Keep posting! Your amazing!!!

  • @lauboliv
    @lauboliv2 жыл бұрын

    Thank you for the video, I always got confused when talking about these kinds of drugs. You got one more subscriber! :)

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Yeah!! So happy this helped :)

  • @CheefCoach
    @CheefCoach3 жыл бұрын

    Great lecture. Nebivolol is B1 blocker and starts with N.

  • @mistytomlinson4863
    @mistytomlinson48634 ай бұрын

    Outstanding information!!

  • @NurseMinder

    @NurseMinder

    4 ай бұрын

    Thank you :)

  • @BTownFury
    @BTownFury20 сағат бұрын

    that was awesome and hit the nail right on the head. I didnt realize that you can tell what meds did or focused on the lungs or cardiovascular system based upon the begging letter. i always wondered about that. I am soon going to go through the paramedic class and trying to get a headstart on things and this answered alot of questions. I appreciate you taking your time to make this video. you got my subscription keep up the great work.

  • @NurseMinder

    @NurseMinder

    17 сағат бұрын

    Thank you and I wish you success!!

  • @BTownFury

    @BTownFury

    27 минут бұрын

    @@NurseMinder if I may, can you either refer me to a video that you have made that talks about the beta blockers and them concealing the signs of hypoglycemia?

  • @hermanmurphy4899
    @hermanmurphy48992 жыл бұрын

    Excellent presentation!!!

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Thank you kindly!

  • @rogerleopold4834
    @rogerleopold48342 жыл бұрын

    GREAT!!!! I learned allot from this video and answered test question correctly.

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Woohoo :)

  • @gaylegonzalez71
    @gaylegonzalez714 жыл бұрын

    👌 Great breakdown of both classes, I feel more confident w differentiating them

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Awesome!

  • @leahbaileu121
    @leahbaileu1213 жыл бұрын

    Thank you, very helpful

  • @kokilabaskar1610
    @kokilabaskar16103 жыл бұрын

    It's very awesome vedio. And helpful too😍 I hope next you can give us mechanism of action from your video by the given drug or classification 😍

  • @amygerasimov1889
    @amygerasimov18893 жыл бұрын

    Very helpful.

  • @alexisford1187
    @alexisford11872 жыл бұрын

    This video was sooooo helpful!

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    😊

  • @kristelv9031
    @kristelv90313 жыл бұрын

    Thank you!

  • @SovereignKnight74
    @SovereignKnight742 жыл бұрын

    Awesome video! You rock!

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    😊

  • @kokilabaskar1610
    @kokilabaskar16103 жыл бұрын

    I want a anticonvulsants classification and mechanism of action 🙂so please put a video with us mam🤗 I'm eagerly waiting for that 😍 your teaching method is very unique and superb ❤❤❤

  • @sammybabi
    @sammybabi4 жыл бұрын

    Your the best! I love these videos

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Thanks! I appreciate the ❤️

  • @lezelladroma9203
    @lezelladroma92033 жыл бұрын

    this is awesome and easy to understand...i am a nursing student and taking our local board exam soon..thank you for the tips..i hope you have about ABGs too..

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    I do :). Two videos

  • @ericacelestine532
    @ericacelestine5322 жыл бұрын

    I absolutely loved the way you broke down the information to easily understand the two selectives. Thank you.

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Thanks 🙏

  • @raquelisela
    @raquelisela2 жыл бұрын

    I am so happy. I feel finally I understand the difference. amazing

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Awesome

  • @raymondcastleberry1252
    @raymondcastleberry12522 жыл бұрын

    I enjoyed your video, and learned a lot!!! Thank you, and I'll be sure to share, like, and watch more videos ;-}

  • @spinedoc18
    @spinedoc18 Жыл бұрын

    Great info, thanks! I'm on a beta blocker, bisoprolol/Cardiloc for the first time in my life due to Atrial Flutter. Even though I had a trimester of the cardiac cycle in Chiropractic school I needed this as a review. I would still like to go deeper into the issue of adrenal function though.

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Excellence. Let me know what you learn

  • @spinedoc18

    @spinedoc18

    Жыл бұрын

    @@NurseMinder I've had adrenal fatigue in the past as measured on a 4 point lab test. What is the connection, if any, between adrenal fatigue and atrial flutter? Both AF! Is there a chance, if I currently have adrenal fatigue, that if I correct that, the atrial flutter will abate too? I'm asking based upon beta blockers working on adregeneric receptors.

  • @oluwilliams7904
    @oluwilliams7904 Жыл бұрын

    I love this video!

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Thank you!

  • @oluwilliams7904

    @oluwilliams7904

    Жыл бұрын

    @@NurseMinder Please, do you have the videos of the complete nclex syllabus? Or would you recommend anyone for me? If you prefer, I can send you my email address to you so you can send your recommendation. Thanks.

  • @IvyTranVu
    @IvyTranVu Жыл бұрын

    Thankss!!!

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    ☺️

  • @rileywolf3213
    @rileywolf32133 жыл бұрын

    Thank you so much

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    you are welcome

  • @Iyengaryogawithshaun
    @Iyengaryogawithshaun3 жыл бұрын

    Thank you ❤️

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    thank you

  • @tawnyapplewhite9331
    @tawnyapplewhite9331 Жыл бұрын

    Quite edifying

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Yeah! And - you taught me something too, had to look up what edifying meant (I hear it but never really knew) 🫣

  • @Shericedr
    @Shericedr3 жыл бұрын

    You voice is so Soothing and your hair looks beautiful by the way

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    ah! you are appreciated

  • @jerryshepherd1645

    @jerryshepherd1645

    Жыл бұрын

    But you can not hear her. Waste of time don’t know what she said

  • @carleypennecke8289
    @carleypennecke82892 жыл бұрын

    Propranolol and Nadolol are non-selective beta blockers in that they block BOTH B1 and B2 adrenergic receptors...not sure if you've meant to separate them (or if NCLEX teaches it differently) but in my PA program we are taught that NSBB have an antagonistic effect on both types of beta receptors. Thoughts?

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Awesome add! Nursing level pharm is different but I love deepen knowledge

  • @artsmart
    @artsmart2 жыл бұрын

    Hi Nurse Minder, I got the questions right and I'm not even a med student 😁The video was well presented thanks! Question; I've been taking Atenolol for about 20 years after having several stent surgery's. I do moderate exercise 15-20 minutes daily. I sometimes find I'm winded after exercise and wonder if the Atenolol is actually restricting me from doing a little more? I've had both asthma and treadmill tests recently and they appear OK.

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    If you are just starting back into exercise, you may notice it will take some time to improve that symptom of feeling winded. It sounds like you have brought this up to your medical team and they are working on finding the answers for you

  • @shekeymajoseph8497
    @shekeymajoseph84972 жыл бұрын

    thnk youuuuuu

  • @kennethmasegian101
    @kennethmasegian1013 жыл бұрын

    Damn I watched the whole video, but I learned a ton! If nursing school is as easy as u teach it I think I’ll go get my nursing degree. Btw I aced both ur questions lol good video

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Awesome:).

  • @BettyJ373
    @BettyJ3733 жыл бұрын

    awesome

  • @victorpostolovsky3239
    @victorpostolovsky323910 күн бұрын

    Respect!

  • @NurseMinder

    @NurseMinder

    9 күн бұрын

    😊

  • @GregoryCampbellSwag
    @GregoryCampbellSwag2 жыл бұрын

    Propanalol extended release makes me incredibly tired. Do you think that something like Cialis, which improves circulation, could combat this?

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    This is a great question for your doctor :)

  • @binhminh417
    @binhminh4172 жыл бұрын

    Thank you for sharing your knowledge in layman's terms.

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    You are welcome. It is how I learn too

  • @chaka5613
    @chaka5613 Жыл бұрын

    can someone give me a timestamp on when she talks about anxiety.... i got prescribe propranolol for anxiety and just curious about how it helps with it. I took it once and actually got an anxiety attack, I think I was too worried about my heart slowing down lmao... i have anxiety issues which may be due to my hypothyroidism

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Yes it is used for anxiety - as it controls heart rate from rising.

  • @ZoranSandorov
    @ZoranSandorov7 ай бұрын

    So which beta blockator is good for stage fright and avoid asthma attack?

  • @NurseMinder

    @NurseMinder

    7 ай бұрын

    It is something that would require a family doc as care is based on the whole person

  • @nenadcubric2663
    @nenadcubric26638 ай бұрын

    Which of them is strongest to lower BP?? Dystolic (Heart) BP? Metoprolol, Atenolol, or Propranolol??

  • @NurseMinder

    @NurseMinder

    8 ай бұрын

    They all work similarly, the individual effect will depend on many factors

  • @anupambhowmik3432
    @anupambhowmik34322 жыл бұрын

    What's the major difference between METOPROLOL & PROPRANOLOL? Mother 77 (having CKD due to High BP) was taking PROPRANOLOL, but doctor changed it to METOPROLOL. Trying to understand this. Does METOPROLOL remain active over a longer span of time? Thanks

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Great question. I had to look them up individually in my drug guide. They both work on cardiac muscles (heart) but propranolol also affects beta 2 receptors (lungs, vessels, and urinary tract). Sometimes when one drug is not working, docs will try another one because it will have a slightly different effect - or a person may respond differently to it

  • @angelgabrielcaviedesjoya9368
    @angelgabrielcaviedesjoya93683 жыл бұрын

    well, you got me like in the first 15 seconds

  • @thechosenone1727
    @thechosenone1727 Жыл бұрын

    May be" M "for mental since anxiety is considered a mental health condition

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    Great addition

  • @johnnyflores1978
    @johnnyflores19783 жыл бұрын

    They also raise cholesterol levels

  • @cameronc.cameronson7632
    @cameronc.cameronson76322 жыл бұрын

    Whats the benefit of a beta 2 blocker over a beta 1 blocker? Why would you want airway constriction? Only thing that confused me, otherwise a great video. Thank you.

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Beta-1 receptors are located in the heart. When beta-1 receptors are stimulated they increase the heart rate and increase the heart's strength of contraction or contractility. The beta-2 receptors are located in the bronchioles of the lungs and the arteries of the skeletal muscles (source: ems1.com)

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    We want dilation of bronchioles with beta 2 … did I say it constricts? I will need to look into this (where in the video should I review to answer your question)

  • @soulsborne123

    @soulsborne123

    2 жыл бұрын

    when beta-2 receptors are activated, they cause vasoconstriction in lungs. Therefore when you introduce beta-2 blockers, it should lead to vasodilation.

  • @cameronc.cameronson7632

    @cameronc.cameronson7632

    2 жыл бұрын

    @@soulsborne123 thank you.

  • @russellconstant1202
    @russellconstant12022 жыл бұрын

    does this help with grieve panic attacks?

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    Yes they can be given for anxiety

  • @russellconstant1202

    @russellconstant1202

    2 жыл бұрын

    @@NurseMinder but what about panic attacks?

  • @harmonyclara
    @harmonyclara9 ай бұрын

    And now in 2023 we have Nebivolol which isn't covered here and is unique in not doing what she says a Beta 1 blocker does. It doesn't reduce heart output so doesn't cause breathlessness and zombie like symptoms that I experienced in 4 years on Bisoprolol. But a lot of great info otherwise!

  • @NurseMinder

    @NurseMinder

    9 ай бұрын

    It is amazing how science continues to make improvements!!

  • @user-ct4db1nl5u
    @user-ct4db1nl5u3 жыл бұрын

    قال رب اشرح لي صدري ويسر لي أمري واحلل عقدة من لساني يفقه قولي

  • @sammybabi
    @sammybabi4 жыл бұрын

    Maybe manic for metoprolol??

  • @NurseMinder

    @NurseMinder

    4 жыл бұрын

    Good one

  • @marleangreene6117
    @marleangreene61173 жыл бұрын

    My bp was high when i went to see my dr yesterday i was very off balance and dizzy so he put me on a 25 mg bata blocker, i have copd , asthma and a heart arithmea already , i hope i don't die from taking this blocker i mean the dr knows i have all these problems but gave it to me anyway

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Which one are you on? There are beta blockers that can be used with lung conditions

  • @marleangreene6117

    @marleangreene6117

    3 жыл бұрын

    @@NurseMinder metoprolol 25 mg

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Yes that is one that is selective to the cardiac cells and not the lungs

  • @marleangreene6117
    @marleangreene61173 жыл бұрын

    Wish i could hear it

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    The video?

  • @marleangreene6117

    @marleangreene6117

    3 жыл бұрын

    @@NurseMinder yes my phone volume is messed up

  • @ud3mare
    @ud3mare Жыл бұрын

    So bedranol is not from the propranolol family because it doesn't end with an lol ?

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    That is a new drug for me - I would refer to the drug guide to see where it fits.

  • @user-ct4db1nl5u
    @user-ct4db1nl5u3 жыл бұрын

    قل أعوذ برب الفلق من شر ما خلق

  • @medicalchannel8007
    @medicalchannel80074 жыл бұрын

    good luck

  • @johnnyflores1978
    @johnnyflores19783 жыл бұрын

    I was on propranolol its a good drug but it was causing me ED

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Thanks for sharing, did you receive education about the risk ahead of time?

  • @johnnyflores1978

    @johnnyflores1978

    3 жыл бұрын

    @@NurseMinder no i was prescribed them for an arrhythmia i was feeling

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    I think it is often overlooked

  • @johnnyflores1978

    @johnnyflores1978

    3 жыл бұрын

    @@NurseMinder sinus arrhythmia showed on my ekg without significant abnormalities

  • @thechosenone1727
    @thechosenone1727 Жыл бұрын

    But labetalol is non-selective. That's the exception to the alphabet. Like you said it is 90% accurate. But good tip

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    It certainly helps having a framework

  • @byrondel5319
    @byrondel53193 жыл бұрын

    Too many commercials otherwise perfect

  • @NurseMinder

    @NurseMinder

    3 жыл бұрын

    Yes. KZread puts those in :)

  • @rinaduplessis2081
    @rinaduplessis20812 жыл бұрын

    Poison

  • @NurseMinder

    @NurseMinder

    2 жыл бұрын

    if not taken correctly

  • @josephmwamburi478
    @josephmwamburi478 Жыл бұрын

    So boring presentation!

  • @NurseMinder

    @NurseMinder

    Жыл бұрын

    When are you posting yours?