Chapter 7 - Ipratropium Bromide Flashcards
1
Q
Presentation?
A
Nebules containing ipratropium bromide 250 micrograms in 1ml or 500 micrograms in 2ml.
2
Q
Indications?
A
Acute severe or life threatening asthma.
Acute asthma unresponsive to salbutamol.
Exacerbation of COPD, unresponsive to salbutamol.
3
Q
Actions?
A
Antimuscarinic bronchodilator drug.
Salbutamol generally works quicker.
4
Q
Contraindications?
A
None in emergency setting.
5
Q
Cautions?
A
Glaucoma (protect eyes).
Pregnancy and breastfeeding.
Prostatic hyperplasia.
COPD - limit nebulisation to 6mins.
6
Q
Side effects?
A
Nausea. Dry mouth. Tachycardia / Arrhythmias. Tightness of chest. Allergic reaction.
7
Q
Administration route?
A
Nebulise with 6-8L per minute of O2.
8
Q
Initial dose?
A
500 micrograms.
9
Q
Repeat dose?
A
None.
10
Q
Volume?
A
2ml.
11
Q
Max dose?
A
500 micrograms.
