Ipratropium Bromide (Atrovent)

Question 1

Ipratropium Bromide (Atrovent)
Classification

Answer 1

Anticholinergic
Parasympatholytic

Question 2

Ipratropium Bromide (Atrovent)
Mechanism of Action

Answer 2

Muscarinis ACh-R antagonist-inhibits parasympathetic stimulation in bronchial smooth muscle cells, submucosal glands, and goblet cells which dries respiratory tract secretions and allows bronchodilation

Question 3

Ipratropium Bromide (Atrovent)
Onset of Action

Answer 3

Varies

Question 4

Ipratropium Bromide (Atrovent)
Peak Effects

Answer 4

1.5-2.0 hrs

Question 5

Ipratropium Bromide (Atrovent)
Duration of Effect

Answer 5

4-6 hrs

Question 6

Ipratropium Bromide (Atrovent)
Half Life

Answer 6

1.5-2.0 hrs

Question 7

Ipratropium Bromide (Atrovent)
Indications/Field Use

Answer 7

-Respiratory distress and wheezing associated with bronchial asthma
-Reversible bronchospasm associated with COPD

Question 8

Ipratropium Bromide (Atrovent)
Contraindications

Answer 8

Hypersensitivity
Hypersensitivity to atropine

Question 9

Ipratropium Bromide (Atrovent)
Side Effects/Adverse Reactions

Answer 9

Anxiety
HA
Palpitations
Dizziness
Nervousness
Rash
Dry mouth
N/V

Question 10

Ipratropium Bromide (Atrovent)
Adult Dose

Answer 10

0.5mg (administered with 2.5mg Albuterol-DuoNeb)

Question 11

Ipratropium Bromide (Atrovent)
Pedi Dose

Answer 11

0.5mg (administered with 2.5mg Albuterol-DuoNeb)

Question 12

Ipratropium Bromide (Atrovent)
Precautions

Answer 12

Typically admnistered with a beta agonist

Question 13

Ipratropium Bromide (Atrovent)
Drug-drug Interactions

Answer 13

None EMS