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EMT Medications - ipratropium bromide
Details
10
Medical
Professional
02/27/2013

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Term
Trade Names
Definition
  1. Atrovent
Term
Indications
Definition
  1. Bronchospasm in asthma, chronic bronchitis and emphysema.
Term
Contraindications
Definition
  1. Hypersensitivity to ipratropium bromide, atropine, or its derivatives.
Term
Precautions
Definition
  1. Hypersensitivity to soy lecithin or related food products (soybeans, peanuts, etc.)
  2. Be careful to avoid accidental release into the eyes of patients with narrow angle glaucoma, use a nebulizer with the mouthpiece instead of the mask.
Term
Side Effects
Definition
  1. Nervousness
  2. Nausea/Vomiting
  3. Headache
  4. Heart palpitations
  5. Tachycardia
  6. Transient muscle cramps
  7. Muscle tremors
  8. Weakness
Term
Adult Dose
Definition
  • Nebulizer = 250mcg – 500mcg mixed with salbutamol, repeat up to 2 times if needed (Do not exceed 1000mcg)
    • Combivent: 2.5ml – 5.0ml nebule, repeat every 10 minutes as needed but do not exceed 1000mcg of ipratropium bromide.
  • MDI = 1 – 4 puffs as needed to a max of 10. Each puff is 20mcg.
Term
Pediatric Dose
Definition
  • Nebulizer = 125mcg – 250mcg mixed with salbutamol, repeat up to 2 times if needed (Do not exceed 1000mcg)
  • MDI = 2 puffs as needed to a max of 4, each puff is 20mcg.
Term
Notes
Definition
  1. Give after salbutamol, ipratropium bromide has a much slower onset of action.
  2. Use of EMS service medication is preferred over using patient’s medication.
  3. Nebulized is the preferred method of delivery.
Term
Classification
Definition
  1. Bronchodilator.
  2. Anti-cholinergic.
Term
Pharmacodynamics
Definition
  1. Inhibits parasympathetic bronchoconstriction, resulting in more open lower airways and bronchodilation.
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