Group 2 - Ipratropium Bromide (Atrovent) Flashcards

1
Q

Ipratropium Bromide (Atrovent)

Drug Class?

A

Ipratropium Bromide (Atrovent)

Drug Class:

  • Anticholinergic
  • Bronchodilator
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2
Q

Ipratropium Bromide (Atrovent)

Mechanism of Action (MOA)?

A

Ipratropium Bromide (Atrovent) MOA:

  • Inhibits vagally-mediated reflexes by antagonizing the action of acetylcholine
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3
Q

Ipratropium Bromide (Atrovent)

Indications?

A

Ipratropium Bromide (Atrovent)

Indications:

  • Bronchospasm associated with COPD (emphysema and chronic bronchitis)
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4
Q

Ipratropium Bromide (Atrovent)

Contraindications?

A

Ipratropium Bromide (Atrovent)

Contraindications:

  • Hypersensitivity
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5
Q

Ipratropium Bromide (Atrovent)

Adverse Reactions?

A

Ipratropium Bromide (Atrovent)

Adverse Reactions:

  • Resp: Coughing, increased sputum
  • CNS: Dizziness, insomnia, tremors
  • GI: Nausea
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6
Q

Ipratropium Bromide (Atrovent)

Adult Dose?

A

Ipratropium Bromide (Atrovent)

Adult Dose:

  • 500 mcg in 2.5 ml NS via SVN or in-line with a ventilator device. Repeat according to medical control.
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7
Q

Ipratropium Bromide (Atrovent)

Pediatric Dose?

A

Ipratropium Bromide (Atrovent)

Pediatric Dose:

  • 500 mcg in 2.5 ml NS via SVN or in-line with a ventilator device. Do not repeat.
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8
Q

Ipratropium Bromide (Atrovent)

Onset of Action?

A

Ipratropium Bromide (Atrovent)

Onset of Action:

  • 5 - 15 minutes
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9
Q

Ipratropium Bromide (Atrovent)

Peak Effects?

A

Ipratropium Bromide (Atrovent)

Peak Effects:

  • 60 - 120 minutes
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10
Q

Ipratropium Bromide (Atrovent)

Duration of Action?

A

Ipratropium Bromide (Atrovent)

Duration of Action:

  • 4 - 8 hours
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11
Q

Ipratropium Bromide (Atrovent)

AZ Drug Box Minimum Supply?

A

Ipratropium Bromide (Atrovent)

AZ Drug Box Minimum Supply:

  • 5 ml
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12
Q

Ipratropium Bromide (Atrovent)

Special Notes?

A

Ipratropium Bromide (Atrovent)

Special Notes:

  • Anticholinergics produce preferential dilation of the larger central airways
  • May be more effective use in combination with beta agonists (such as albuterol)
  • Keep out of light in foil pouch and avoid excessive humidity
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