Ipratopium (Atrovent®)

Question 1

Atrovent - Class

Answer 1

Anticholinergic bronchodilator

Question 2

Atrovent - Actions

Answer 2

• Inhibits vagally mediated reflexes by antagonizing muscarinic ACh receptors in the lungs
• Weak bronchodilator with no anti-inflammatory effects

Question 3

Atrovent - Indications

Answer 3

As a supplement to agonists (Albuterol) in asthma & COPD

Question 4

Atrovent - Dosage/Route

Answer 4

• 0.5 mg in 2.5 ml of NS via nebulizer

* 0.5 mg mixed with Albuterol via nebulizer (as 2nd or 3rd nebulizer treatment)

Question 5

Atrovent - Side Effects

Answer 5

• Dry mouth, cough & throat irritation

* Increased intra-ocular pressure in glaucoma patients

Question 6

Atrovent - Contraindications

Answer 6

• Known hypersensitivity to the drug

* Do not use in pts with severe glaucoma

Question 7

Atrovent - Special Information

Answer 7

• Simultaneous administration of Atrovent & Albuterol produces a greater bronchodilation than either drug used alone
• Use with caution with hx of allergies to soybeans or peanuts (give only in nebulizer, not MDI)
• Can use aerosol mask
• Keep nebulizer upright to avoid spilling
• Must be stored in a foil container (sensitive to light)
• O2 should be at 6L minimum
• Re-evaluate pt, including lung sounds, RR, & O2 sat to determine effectiveness

Question 8

Atrovent - Pediatric Note

Answer 8

• Refer to Pediatric Drug Guide
• Peds < 2 yrs: give 0.25 mg/dose
• Peds > 2 yrs: give 0.25 - 0.5 mg/dose