ipratropium (atrovent) inhaled anticholinergics

Question 1

ipratropium is what type of drug

Answer 1

inhaled anticholinergic

Question 2

ipratropium is an inhaled short acting drug
true or false

Answer 2

true

Question 3

what is the pharmacological action of ipratropium

Answer 3

block muscarinic receptors of the bronchi, resulting in bronchodilation

Question 4

what are the therapeutic uses of ipratropium

Answer 4

relieve bronchospasm associated with COPD
allergen-induced and exercise-induced bronchospasm

Question 5

Ipratropium is FDA approved only for bronchospasm associated with COPD
true or false

Answer 5

true

Question 6

ipratropium is FDA approved only for bronchospasm, though it is often used off-label for ____

Answer 6

asthma and is part of evidence-based guidelines for asthma management

Question 7

what is the route of administration for ipratropium

Answer 7

inhalation

Question 8

what is the complication of ipratropium

Answer 8

local anticholinergic effects

Question 9

what type of local anticholinergic effects is caused from ipratropium

Answer 9

dry mouth; hoarseness

Question 10

because ipratropium can cause dry mouth and hoarseness what should you educate a client to do if they experience those side effects

Answer 10

sip fluids; suck on sugar-free hard candies to control dry mouth

Question 11

precautions of ipratropium

Answer 11

pregnancy -safety not established
lactation- safety not established

Question 12

combination of ipratropium/albuterol is contraindicated in clients who have an allergy to

Answer 12

allergy to soy or peanuts

Question 13

why is the combination of ipratropium/albuterol is contraindicated in clients who have an allergy to soy or peanuts

Answer 13

the medication preparations can contain soy lecithin

Question 14

ipratropium should be used cautiously with clients who have

Answer 14

narrow-angle glaucoma; benign prostatic hyperplasia ( due to anticholinergic effects)

Question 15

what is the usual adult dosage for ipratropium

Answer 15

2 puffs

Question 16

what should you instruct the patients to do between puffs

Answer 16

wait the length of time directed between puffs

Question 17

how do patients decrease unpleasant taste after inhalation

Answer 17

rinse mouth after inhalation

Question 18

if 2 inhaled medications are prescribed, how long should you wait between medications

Answer 18

at least 5 min

Question 19

should patients swallow tiotropium capsules
yes or no

Answer 19

no don’t swallow

Question 20

what device is used for administration of a tiotropium capsule

Answer 20

inhalation device

Question 21

depending on therapeutic intent, how is the effectiveness of ipratropium evidenced

Answer 21

control of bronchospasm in clients who have COPD
prevention of allergen-induced and exercise- induced asthma