Ipratropium (Atrovent) Clinical Intervention Protocols

Vocabulary-style flashcards based on the clinical intervention protocols for Ipratropium (Atrovent) for primary care paramedics.

Ipratropium (Atrovent) Class

A bronchodilator with anticholinergic effects.

Ipratropium Administration Conditions

Clinical table of bronchoconstriction combined with respiratory distress or insufficiency (pediatric or adult) or a PRAM score $\ge 6$ (pediatric $\ge 1$ year).

Ipratropium Contraindications

Allergy to ipratropium (or other atropine derivatives) and unoperated glaucoma.

Ipratropium Presentation

$2\,\text{ml}$ nebule ($500\,\mu ext{g}$).

Ipratropium Pediatric Dosage (1 to 11 years)

$250\,\mu ext{g}$ ($1\,\text{ml}$) via nebulization.

Ipratropium Dosage ($\ge 12$ years)

$500\,\mu ext{g}$ ($2\,\text{ml}$) via nebulization.

Repetition in Respiratory Distress

Every $10\,\text{minutes}$ (starting from the end of the previous dose) if administration conditions remain present.

Repetition in Respiratory Insufficiency

Administered continuously (no delay between doses) if indications are still present.

Maximum Dose Limit

A maximum of $3$ doses in total.

Administration Route and Requirement

Nebulization performed concomitantly with salbutamol.

Ipratropium Side Effects

Dry mouth, metallic taste, headache, rhinitis, glaucoma, and urinary retention.

Paradoxical Bronchoconstriction

A rare complication that generally occurs after the first dose; if this occurs, do not repeat the medication.

Combivent Usage

Acceptable in cases of supply issues, following regional authorization.

Ipratropium Onset of Action

$5$ to $15\,\text{minutes}$.

Ipratropium Duration of Effect

The maximum effect lasts $1$ to $2\,\text{hours}$.

Ipratropium Half-life

$2$ to $6\,\text{hours}$ by inhalation.

Ipratropium Elimination

Renal elimination.