Ipratropium Bromide Flashcards

1
Q

Drug class

A

Anticholinergic agent

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2
Q

Pharmacology

A

An antimuscarinic agent which promotes bronchodilation by inhibiting cholinergic bronchomotor tone

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3
Q

Metabolism

A

Hepatic with excretion by the kidneys

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4
Q

Indications

A

Moderate to severe bronchospasm

*in moderate cases pt must be unresponsive to initial salbut NEB

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5
Q

Contraindications

A
  • Allergy and/or adverse drug reaction

* Pts <1yr

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6
Q

Precautions

A

Glaucoma

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7
Q

Side effects

A
  • Dilated pupils
  • Dry mouth
  • Palpitations
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8
Q

Presentation

A

250mcg/1ml

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9
Q

Onset

Duration

A

O: 1.5-3min

D: 4-6hrs

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10
Q

Routes of administration

A

Nebuliser (NEB)

*MUST be admin in conjunction with NEB salbutamol

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11
Q

Adult dosages

A

NEB 500mcg, repeated @ 20mins, total max dose 1.5mg

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12
Q

Paediatric dosages

A

≥6yrs
• 500mcg, repeated @ 20mins, total max dose 1.5mg

1-5yrs
• 250mcg, repeated @ 20mins, total max dose 750mcg

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