Ipratropium bromide

Question 1

Drug code for Ipratropium bromide?

Answer 1

IPR

Question 2

Presentation of Ipratropium bromide?

Answer 2

Nebuliser liquid Ipratropium bromide 250 microgram per 1ml liquid unit dose vial
Nebuliser liquid Ipratropium bromide 500 microgram per 2ml liquid unit dose vial (Ipratropium bromide 250 microgram per 1ml)

Question 3

Indications for use of Ipratropium bromide?

Answer 3

Acute severe or life-threatening asthma
Acute asthma unresponsive to salbutamol
Exacerbation of chronic obstructive pulmonary disease (COPD), unresponsive to salbutamol

Question 4

Actions of Ipratropium bromide?

Answer 4

an antimuscarinic bronchodilator drug - it may provide short-term relief in acute asthma, but beta2 antagonists (such as salbutamol) generally work more quickly

Question 5

Who is Ipratropium bromide generally considered of greater benefit in?

Answer 5

children suffering with acute asthma

adults suffering with COPD

Question 6

Contra-indications of Ipratropium bromide?

Answer 6

None in the emergency situation

Question 7

Cautions for use of Ipratropium bromide?

Answer 7

Ipratropium bromide should be used with care in patients with:
- Glaucoma
- Pregnancy and breastfeeding
- Prostatic hyperplasia
If COPD is a possibility limit nebulisation with oxygen to 6 minutes

Question 8

How would you exercise caution when administering Ipratropium bromide to a patient with Glaucoma?

Answer 8

protect the eyes from mist

Question 9

Whta is Prostatic hyperplasia?

Answer 9

also called prostate enlargement, is a noncancerous increase in size of the prostate gland.

Question 10

Common symptoms of Prostatic hyperplasia?

Answer 10

Symptoms may include frequent urination, trouble starting to urinate, weak stream, inability to urinate, or loss of bladder control.

Question 11

Side effects of Ipratropium bromide use?

Answer 11

Nausea
Dry mouth (common)
Tachycardia/arrhythmia 
Paroxysmal tightness of chest
Allergic reaction

Question 12

Protocol for Ipratropium bromide administration for life-threatening or acute severe asthma?

Answer 12

In life-threatening or acute severe asthma: undertake a time critical transfer to the nearest suitable receiving hospital and provide nebulisation en-route

Question 13

Route of administration for Ipratropium bromide?

Answer 13

Nebuliser with 6-8 litres per minute of oxygen

Question 14

Can a repeat dose of Ipratropium bromide be given?

Answer 14

No

Question 15

Dose interval for Ipratropium bromide?

Answer 15

N/A

Question 16

Volume of Ipratropium bromide and maximum dose given?

Answer 16

250 micrograms in 1ml, 2ml volume, 500 microgram dose

500 micrograms in 2ml, 2ml volume, 500 micrograms