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20 Cards in this Set
- Front
- Back
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Atrovent (_____)
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Ipratropium bromide
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Atrovent Class
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Anticholinergic
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Atrovent Action #1
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Antagonizes the action of acetylcholine, preventing the interaction of acetylcholine with muscarinic receptors in bronchial smooth muscle causing bronchodilation
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Atrovent Action #2
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Bronchodilation, site specific (in lung - not systemic)
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Atrovent Onset
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Of action within 15-30 minutes, peak at 1-2 hours
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Atrovent Duration
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4-5 hours
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Atrovent Indication
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- Respiratory distress ?asthma/COPD/respiratory origin
- Allergic reaction/Anaphylaxis - Burns |
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Atrovent Dosage/Route (ADULT)
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2.5 ml (0.02%) via nebulizer added to first dose Albuterol
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Atrovent Dosage/Route (PEDS)
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PDC via nebulizer added to first dose of Albuterol
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Atrovent Contraindications
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None
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Atrovent Side Effects
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- Nausea
- GI distress - Nervous / dizziness - Headache - Palpitations - Blurred vision / eye irritation (with direct contact of mist) |
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Atrovent Concentration
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0.5 mg / 2.5 ml - 0.02% unit dose vial)
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Atrovent Special Information #1
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Use with 4-6 liters of O2 for handheld mouthpiece.
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Atrovent Special Information #2
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Use with 6-10 liters of O2 for aerosol mask, and for ET tube.
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Atrovent Special Information #3
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Keep nebulizer upright to avoid spillage of drug.
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Atrovent Special Information #4
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Use of nebulizer with mouthpiece rather than facemask may be preferable to avoid contact with eyes.
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Atrovent Special Information #5
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Do not allow solution to come into direct contact with eyes (may cause blurring of vision, eye pain)
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Atrovent Special Information #6
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If a patient has self-medicated with bronchodilator prior to paramedic intervention, Atrovent should still be given with first prehospital Albuterol treatment.
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Atrovent Special Information #7
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When mixed with Albuterol, Atrovent is stable for up to one hour.
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Atrovent Special Information #8
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Check lung sounds, O2 saturation, capnography wave forms and respiratory rate before and after administration of Atrovent to determine effectiveness.
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