Published Jun 3, 2011
ADPIE1
21 Posts
An 83-year-old female patient, a hospital nurse notes that the woman has been taking a beta-blocker for many years despite no apparent history of hypertension or cardiac disease...
what would you do?
RNCEN
234 Posts
Why does the patient think she is taking it?
EricJRN, MSN, RN
1 Article; 6,683 Posts
There are multiple uses for beta blockers outside of HTN and heart disease. How could you investigate those?
ImThatGuy, BSN, RN
2,139 Posts
The next thing that comes to my mind is anxiety.
Why question it? She's been taking it forever with no apparent detriment. Sure, there's a reason. Read the charts. Ask the doctor or someone who knows.
caliotter3
38,333 Posts
Beta blockers are commonly prescribed for anxiety. Some research into her records should reveal the reason it was originally prescribed.
Butterfly0328
286 Posts
A friend of mine takes beta blockers to control her panic disorder. It has been a godsend for her.
CrazierThanYou
1,917 Posts
It's also used for tachycardia.
FLDoula
230 Posts
I have symptomatic benign PVC's and took beta blockers for about 5 years (now if I don't feel PVC's I get worried. ) Also had anxiety for a few years because of it....the reason the cardiologist prescribed atenolol.
I wonder if some work better for anxiety than others. My doctor put me on metoprolol but I can't tell its helped with my anxiety.
Staragate, ADN, ASN, RN
380 Posts
Also, Inderal is prescribed for migraine prevention.
CompleteUnknown
352 Posts
Have seen Inderal used for essential tremor too.
anonymousstudent
559 Posts
YES. That's exactly what I was going to suggest. Maybe she's routinely tachy. The -olol drugs effect heart RATE, aside from HTN.