Ipratropium bromide (Atrovent)

Question 1

Atrovent
Type

Answer 1

Anticholinergic bronchodilators

Question 2

Atrovent
Presentation

Answer 2

Pressurised metered dose inhaler (pMDI) - 21mcg per activation

Question 3

Atrovent
Actions

Answer 3

1. Bronchodilation
2. Blocks Vagal reflexes which mediate bronchoconstriction

Onset: 3-5mins Duration: 2-4hrs

Question 4

Atrovent
Uses

Answer 4

Severe respiratory distress due to asthma or COPD

Question 5

Atrovent
Adverse Effects

Answer 5

Rare with single use, occasionally, urine retention

Question 6

Atrovent
Contraindications

Answer 6

Known hypersensitivity

Question 7

Atrovent
Precautions

Answer 7

Care needed with use in patients with glaucoma

Question 8

Atrovent
Dose

Answer 8

Adult >=6
8x actuations - repeat once after 20mins - 1 actuation to 4 breaths
Paed <6
4x actuations - repeat once after 20mins - 1 actuation to 4 breaths

Note: shake prior to every actuation