Atrovent

Question 1

Names of Atrovent

Answer 1

Brand: Atrovent
Generic: Ipratropium Bromide

Question 2

Classification of Atrovent

Answer 2

Anticholinergic, bronchodilator

Question 2

Mechanism of action of Atrovent

Answer 2

Anticholinergic [pronounced: anti-kohl-ih-nar-gic] (parasympatholytic) agent appears to inhibit vagally-mediated reflexes by antagonizing the action of acetylcholine, the transmitter released from the vagal nerve.

Question 3

Indications of Atrovent

Answer 3

Treatment of bronchospasm associated with chronic obstructive pulmonary disease (COPD, such as emphysema and chronic bronchitis). To be used either alone, or in combination with other bronchodilators especially beta adrenergics (i.e. albuterol)

Question 4

Contraindications of Atrovent

Answer 4

Ipratropium Bromide is contraindicated in known or suspected cases of hypersensitivity to Ipratropium Bromide or o atropine and its derivatives. PRECAUTION: Should be used with caution in patients with narrow angle glaucoma.

Question 5

Side Effects of Ipratropium Bromide

Answer 5

Resp: cough, sputum increased
CNS: Dizziness, insomnia, tremor, nervousness
GI: nausea

Question 6

Dosage of Ipratropium Bromide

Answer 6

Give 500 mcg in 2.5ml normal saline (1 unit dose vial) via SVN with a mouth piece. Repeat according to medical control preference. May mix one unit dose vial of Atrovent with one unit dose vial of albuterol.

Question 7

Onset of Ipratropium Bromide

Answer 7

5-15mins

Question 8

Overdose management of Ipratropium Bromide

Answer 8

ER only

Question 9

Routes of administration of Ipratropium Bromide

Answer 9

Nebulized or MDI

Question 10

Precautions/ special considerations for Ipratropium Bromide

Answer 10

None

Question 11

Storage requirements of Ipratropium Bromide

Answer 11

store at room temp 68-77ºF