Ipratropium Bromide

Question 1

** Ipratropium Bromide**
Drug Class and preparation

Answer 1

Anticholinergic Bronchodilator

250mcg in 1ml nebule
MDI 20 mcg per puff

Question 2

** Ipratropium Bromide **
Indications

Answer 2

Severe bronchospasm
Severe life threating asthma or COPD

Question 3

** Ipratropium Bromide**
Contraindications

Answer 3

Hypersensitivity to Ipratropium Bromide

Question 4

** Ipratropium Bromide **
Dose

Answer 4

Adult Nebulised
* 500 microg in 2 mL (250 microg/mL)
* dilute with 2-3ml NaCL 0.9% and administer concurrently with salbutamol
* Repeat every 20 mins as required (total max dose 1.5mg)

Adult MDI
8 puffs (160 mcg), 1 breath per puff, where possible use spacer
Repeat MDI dose every 20 mins (total max 3 doses)