Atrovent (ipratropium Bromide)

Question 1

What is atrovent?

What’s the MOA?

Answer 1

Atrovent inhibits mucous secretion (inhibits ACh muscarinic sites)
Adjunct to bronchodilation (reduces bronchospasm) - does not do this well alone

Question 2

What the dose for atrovent

Answer 2

250-500 mcg via nebulizer

Question 3

Why would you give atrovent ?

Answer 3

Persistent bronchospasm

Copd ( to open up bronchioles/ dry up mucous)

Question 4

Why wouldn’t you give atrovent ?

Answer 4

Hypersensitivity to...
ipratropium/atrovent 
atropine 
alkaloids
Peanuts

Question 5

What are some of the side effects you should warn the patient about atrovent ?

Answer 5

may make you feel dizzy, nervous, blurry vision, flushing, dry mouth, nausea, vomiting

Question 6

Any concerns if you mix atrovent with another drug?

Answer 6

NEGATIVE, NO

Question 7

What pregnancy class is atrovent?

Answer 7

B( give if benefits outweigh the harm )

Question 8

Tip..

Answer 8

Give B2 agonist first, add atrovent as a second round of medication ( if needed )

Question 9

What class is atrovent ?

Answer 9

anticholinergic, bronchodilator