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19 Cards in this Set

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  • Back
Brand name for ipratropium is?
Atrovent
Therapeutic classification of ipratropium is?
allergy
cold
cough
bronchodilator
Pharmacologic classification of ipratropium?
anticholinergics
An indication for the use of ipratropium is?
maintenance therapy of reversible airway obstruction due to COPD
An unlabeled indication for the use of ipratropium is?
adjunctive management of bronchospasm caused by asthma
MOA for inhaled ipratropium is?
inhibits cholinergic receptors in bronchial smooth muscle
Therapeutic effects of ipratropium include?
bronchodilation without systemic anticholinergic effects
A food allergy associated with inhaler may be?
peanut or soy allergy because inhaler contains soy lecithin
Nurse should ask patient if they're allergic to?
atropine
belladonna alkaloids
peanut
soy allergy (inhaler contains
soy lecithin)
Ipratropium is an inhalant so nurse should assess?
respiratory status
rate
breath sounds
degree of dyspnea
pulse
What should nurse do if paradoxical bronchospasm (wheezing) occurs?
notify physician
If using nasal spray ipratropium, then assess patient for which upper respiratory condition?
rhinorrhea
Instruct patient on how to properly use inhaler, nebulizer, nasal spray...no double-dosing

Advise patient that rinsing mouth after using inhaler is
good oral hygiene, and sugarless gum or candy may minimize dry mouth...notify dr if stomatitis or dry mouth persists for more than?
2 weeks
Inhalation...keep it to 12 doses per 24 hours...med should work within 30 minutes or?
call doctor
Inhalation...patient needs to understand importance of pulmonary function tests when?
periodically during therapy to assess effectiveness of med
Inhalation...Caution patient to avoid spraying medication in eyes because it may cause?
blurring of vision or irritation
Inhalation...Advise patient to inform hcp if?
cough
nervousness
headache
dizziness
nausea
GI distress
Nasal spray...instruct patient in proper use of nasal spray...clear nasal passages gently...do not inhale during administration..and why is this?
so med stays in nasal passages...advise patient to contact hcp if symptoms don't improve within 1-2 weeks or if condition worsens
Effectiveness of therapy can be demonstrated by?
decreased dyspnea
improved breath sounds
decrease in rhinorrhea from
perennial rhinitis or the
common cold