Ammonia Inhalants

Question 1

Classification

Answer 1

Aromatic

Question 2

Mechanism of Action

Answer 2

• Irritates the peripheral sensory receptors of the nasal septum, causing reflex stimulation of the respiratory & vasomotor centers.

Question 3

Indications

Answer 3

• Simple syncope & the prevention of syncope

Question 4

Contraindications

Answer 4

• Altered Mental Status with a possible mechanism associated with:
  
  • Respiratory distress
  • Cardiac symptoms
  • Neurological Deficits
  • Trauma
  • Syncope of unknown etiology

Question 5

Adverse Effects

Answer 5

• Respiratory
  
  • Bronchospasm
  • Wheezing
  • Airway Irritation
  • Pulmonary Edema
  • Laryngospasm
  • Stridor
  • Cough

Question 6

Administration

Answer 6

• Wave inhalant a few times 4 inches from nostril.
• Not recomended for pediatrics.

Question 7

Special Considerations

Answer 7

• Repeat doses should not be required, lay the pre-syncopal pt supine & maintain alertness with continued verbal and physical stimulus.
• Use caution in patients with a history of respiratory problems as the inhalant may cause bronchospasm
• Syncope may indicate a significant underlying illness or injury.