irpratropium bromide

Question 1

ipratropium (class)

Answer 1

anticholinergic bronchodilator

Question 2

ipratropium (actions 2)

Answer 2

inhibits vagally mediated reflexes by antagonizing muscarinic ACH receptors in the lungs

weak bronchodilator with no anti-inflammatory efects

Question 3

ipratropium (indications)

Answer 3

as a supplement to beta agonists (albuterol) in asthma and copd

Question 4

ipratropium (dosage/route)

Answer 4

0. 5mg in 2.5ml NS via neb

0. 5mg mixed in albuterol via neb as 2nd or 3rd neb treatment

Question 5

ipratropium (side effects 2)

Answer 5

dry mouth, cough & throat

increased intraocular pressure in glaucoma patients

Question 6

ipratropium (contraindications 2)

Answer 6

known hypersentsitivity

do not use in patients with severe glaucoma

Question 7

ipratropium (special information 6)

Answer 7

simultaneous adminstration of atrovent and albuterol produces greater bronchodilation than either drug used alone

use with caution with hx of allergies to soybeans or peanuts (give only in neb , nor mdi

o2 should be used at 6liters minimum

can use aerosol mask

must be stored in foil container (sensitive to light

re-evaluate patient, including lung sounds, respiratory rate, & o2 sat to determine effectiveness

Question 8

ipratropium (pediatric note 3)

Answer 8

refer to pediatric drug guide

peds <2yrs give 0.25mg dose

peds >2yrs give 0.25-0.5mg dose