Generic name Trade name Classification Route Time/Frequency Normal Dosage- 1-4 inhalations 3-4
ipratropium Atrovent bronchodilators inhaled times daily (not to exceed 24
inhalations/24 hr or more frequently
than q4 hr)
Indications- SOB relaxes smooth muscle on bronchioles Contraindications/warnings/interactions- hypersensitivity to drug -
Decreased rhinorrhea atropine Hypersensitivity to soy lecithin or related products - soybeans,
peanuts caution in patients wil glaucoma; prostatic hyperplasia; bladder;
neck obstruction
Mechanism of action- Inhibits cholinergic receptors in Common side effects- headache; dizziness; headache;
bronchial smooth muscle, resulting in decreased nervousness;palpations; hypertension; cough; blurred vision; rhinitis;
concentrations of cyclic guanosine monophosphate pharngitis; sinusitis; epistaxis; nausea; GI distress; dry mouth; UTI;
(cGMP). Decreased levels of cGMP produce local bronchitis; dyspnea; Bronchospams; rash; pain; back pain; chest pain;
bronchodilation. flank pain; flulike symptoms; hypersensitivity reactions
Lab value alterations-
Nursing Considerations- Vital Signs, Assess for allergy; respiratory
status (rate, breath sounds, degree of dyspnea, pulse) before
administration and at peak of medication.
Interactions with other patient drugs, OTC, or herbal
medicines- Other inhalation bronchodilators having a
fluorocarbon propellant.
Why would you hold or not give Evaluation- decreased dyspnea
this med? severe bronchospasm is Improved breath sounds
present paradoxical bronchospasm Decrease in rhinorrhea from
(wheezing) occurs perenial rhinitis or the common
cold