Atrovent

Question 1

Other Names

Answer 1

Ipratropium Bromide

Question 2

Class

Answer 2

Branchodilator: anticholigernic

Question 3

Action

Answer 3

• Antagonizes the action of acetylcholine, preventing the interaction of acetylcholine with muscarinic receptors in bronchial smooth muscle causing bronchodilation
• Dries respiratory tract secretions
• ONSET = within 15-30 minutes, PEAK = 1-2 hours, DURATION = 4-5 hours

Question 4

Indications

Answer 4

Respiratory Distress (S-136, S-167)
- Suspected non-cardiac
Allergic Reaction / Anaphylaxis (S-122, S-162)
- Acute allergic reactions or anaphylaxis

Question 5

Dosage / Route

Answer 5

ADULT:
2.5ml (0.02%) via nebulizer
-added to first dose of Albuterol
PEDS:
PDC via nebulizer
-added to first dose of Albuterol

Question 6

Contraindications

Answer 6

None

Question 7

Side Effects

Answer 7

• Nervous / dizziness
• Headache
• Cough
• Paradoxical Bronchospasm
• Palpitations
• Blurred vision / eye irritation (with direct contact of mist)

Question 8

Special Information (Packaging)

Answer 8

0.5mg/2ml - 0.02% unit dose vial

Question 9

Special Information (Administration)

Answer 9

• Use with 4-6 lpm O2 for handheld mouthpiece

* Use with 6-10 lpm for aerosol mask, CPAP and ET Tube.

Question 10

Special Information (Cautions & Considerations)

Answer 10

• Do not add to Albuterol as it is not indicated for respiratory burn patients or suspected hyperkalemia patients

Question 11

Special Information (Special Info)

Answer 11

• Cholinergic effects are site specific in lungs - no systemic effects
• If a patient has self-medicated with bronchodilator prior to paramedic intervention, Atrovent should still be given with first prehospital Albuterol treatment