Ipratropium Bromide Flashcards
1
Q
Drug class
A
Anticholinergic agent
2
Q
Pharmacology
A
An antimuscarinic agent which promotes bronchodilation by inhibiting cholinergic bronchomotor tone
3
Q
Metabolism
A
Hepatic with excretion by the kidneys
4
Q
Indications
A
Moderate to severe bronchospasm
*in moderate cases pt must be unresponsive to initial salbut NEB
5
Q
Contraindications
A
- Allergy and/or adverse drug reaction
* Pts <1yr
6
Q
Precautions
A
Glaucoma
7
Q
Side effects
A
- Dilated pupils
- Dry mouth
- Palpitations
8
Q
Presentation
A
250mcg/1ml
9
Q
Onset
Duration
A
O: 1.5-3min
D: 4-6hrs
10
Q
Routes of administration
A
Nebuliser (NEB)
*MUST be admin in conjunction with NEB salbutamol
11
Q
Adult dosages
A
NEB 500mcg, repeated @ 20mins, total max dose 1.5mg
12
Q
Paediatric dosages
A
≥6yrs
• 500mcg, repeated @ 20mins, total max dose 1.5mg
1-5yrs
• 250mcg, repeated @ 20mins, total max dose 750mcg