ipratropium Bromide Flashcards
Ipatropium Bromide Trade Name
Atrovent
ipratropium Bromide Classification
Medscape:
Parasympatholytic, anticholinergic
ipratropium Bromide Mechanism
Medscape:
Anticholinergic (parasympatholytic) agent; inhibits vagally mediated reflexes by antagonizing acetylcholine action; prevents increase in intracellular calcium concentration that is caused by interaction of acetylcholine with muscarinic receptors on bronchial smooth muscle
Capital:
Inhibits acetylcholine at the receptor sites of bronchial smooth muscle to cause slight bronchodilation and dry respiratory tract secretions
ipratropium Bromide Onset of Action
Capital: 1-3 minutes
ipratropium Bromide Duration of Action
Capital: 4-6 hours
ipratropium Bromide Indications
Capital:
Bronchospasm associated with asthma and COPD
CT Protocols:
Anticholinergic bronchodilator. Blocks the muscarinic receptors of acetylcholine.
Relief of bronchospasm in patients with reversible obstructive airway disease and bronchospasm.
ipratropium Bromide Contraindications
Capital:
Hypersensitivity
ipratropium Bromide Side Effects/ Precautions/ Comments
Capital:
Headache, Cough, Dry mouth, GI distress, Hypertension, Nausea/vomiting, Tachycardia, Palpitations
Only given in conjunction with albuterol in a DuoNeb. It is never administered alone.
ipratropium Bromide Adult Dose
CT Protocols:
Asthma/COPD/RAD
0.5 mg ipratropium and 2.5 mg Albuterol (DuoNeb). May repeat every 5 minutes (3 doses total).
Capital:
0.5 mg nebulized at 6-8 lpm
Only given in conjunction with albuterol in a DuoNeb. It is never administered alone.
ipratropium Bromide Pediatric Dose
Capital:
0.5 mg nebulized at 6-8 lpm
ipratropium Bromide
Max Dose Adult (Pediatric)
??
ipratropium Bromide Routes of Administration
Nebulizer
ipratropium Bromide How Supplied
0.5mg/2.5 ml “bullets”
