ipratropium.txt

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Author:
papeirce
ID:
77019
Filename:
ipratropium.txt
Updated:
2011-04-03 16:00:57
Tags:
paramedic medications drugs prehospital ipratropium atrovent
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Description:
Prehospital Medication Flashcards for Paramedic School - Massachusetts and Rhode Island
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  1. Ipratropium Bromide

    Trade Name
    Atrovent
  2. Ipratropium Bromide

    Class
    Bronchodilator
  3. Ipratropium Bromide

    Mechanism of Action
    Blocks the action of acetycholine at the parasympathetic sites in bronchial smooth muscle causing bronchodilitation
  4. Ipratropium Bromide

    Indications
    Used in bronchospasm especially associated with COPD, and emphysema
  5. Ipratropium Bromide

    Contraindications
    Hypersensitivity to atropine or its derivatives
  6. Ipratropium Bromide

    Adverse Reactions
    • Ipratropium is poorly absorbed from the lung, so systemic effects are rare.
    • >10% CNS: Dizziness, Headache, Nervousness
    • Respiratory: Cough 1-10%
    • Cardiac: Hypotension, palpitations
  7. Ipratropium Bromide

    Drug Interactions
    • anticholinergic medications (can increase risk of side effects)
    • acetylcholinesterase inhibitors (can make both medications less effective)
    • pramlintide (another anticholinergic) (decreases gastric motility and increases the chance of related side effects, such as upset stomach, nausea, vomiting, or constipation)
  8. Ipratropium Bromide

    How Supplied
    • Nebulizing Ampule: 0.02% (2.5ml)
    • Inhaler: 18mcg/actuation
  9. Ipratropium Bromide

    Dosage and Administration
    Adult
    • 2-3 puffs via metered dose inhaler (MDI) tid-qid; maximum 12 puffs/day.
    • ALT: 500mcg NEBq 6-8hrs (may mix neb solution with Albuterol if used within 1 hour)
  10. Ipratropium Bromide

    Dosage and Administration
    Pediatric
    • < 12 yo: 1-2 puffs (MDI) tid-qid; max: 8 puffs
    • ALT: 250mcg NEBq 6-8hrs (may mix neb solution with Albuterol if used within 1 hour)
  11. Ipratropium Bromide

    Duration of Action
    • Onset: 1-3 minutes after administration
    • Peak effects: Within 1.5-2 hours
    • Duration of Action: Up to 4-6 hours
  12. Ipratropium Bromide

    Special Considerations
    Pregnancy safety: Category B

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