ipratropium (atrovent) inhaled anticholinergics Flashcards
ipratropium is what type of drug
inhaled anticholinergic
ipratropium is an inhaled short acting drug
true or false
true
what is the pharmacological action of ipratropium
block muscarinic receptors of the bronchi, resulting in bronchodilation
what are the therapeutic uses of ipratropium
relieve bronchospasm associated with COPD
allergen-induced and exercise-induced bronchospasm
Ipratropium is FDA approved only for bronchospasm associated with COPD
true or false
true
ipratropium is FDA approved only for bronchospasm, though it is often used off-label for ____
asthma and is part of evidence-based guidelines for asthma management
what is the route of administration for ipratropium
inhalation
what is the complication of ipratropium
local anticholinergic effects
what type of local anticholinergic effects is caused from ipratropium
dry mouth; hoarseness
because ipratropium can cause dry mouth and hoarseness what should you educate a client to do if they experience those side effects
sip fluids; suck on sugar-free hard candies to control dry mouth
precautions of ipratropium
pregnancy -safety not established
lactation- safety not established
combination of ipratropium/albuterol is contraindicated in clients who have an allergy to
allergy to soy or peanuts
why is the combination of ipratropium/albuterol is contraindicated in clients who have an allergy to soy or peanuts
the medication preparations can contain soy lecithin
ipratropium should be used cautiously with clients who have
narrow-angle glaucoma; benign prostatic hyperplasia ( due to anticholinergic effects)
what is the usual adult dosage for ipratropium
2 puffs
what should you instruct the patients to do between puffs
wait the length of time directed between puffs
how do patients decrease unpleasant taste after inhalation
rinse mouth after inhalation
if 2 inhaled medications are prescribed, how long should you wait between medications
at least 5 min
should patients swallow tiotropium capsules
yes or no
no don’t swallow
what device is used for administration of a tiotropium capsule
inhalation device
depending on therapeutic intent, how is the effectiveness of ipratropium evidenced
control of bronchospasm in clients who have COPD
prevention of allergen-induced and exercise- induced asthma
