University:
University of North Carolina at Chapel Hill
Course:
NURS 312 | Pharmacology
Academic year:

2022
Views:

188

Pages:

1
Author:

Prince Sampson

ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME _____________________________________ Ipratropium Bromide MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ ANTICHOLINERGIC (PARASYMPATHOLYTIC); BRONCHODILATOR CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Opens up the bronchioles and prevents bronchospasm Therapeutic Use Mediates bronchospasms by irritants such as cigarette smoke, pollution, dust, cold air, and inßammatory mediators. Inhibits acetylcholine at receptor site this allows it to block bronchoconstriction. Complications Gi: Nausea, constipation, & dry mouth Resp: Cough, exacerbations of symptoms dry bronchial secretions CNS: Headache Integumentary: Rash & hives Blurred vision, worsening of eye diseases Contraindications/Precautions Use as primary treatment for acute episodes; hypersensitivity to atropine or derivavtives. Interactions Medication Administration - Demonstrate aerosol use and check return demonstration. - Wait 3 min between inhalations if more than one inhalation per dose is ordered. - Avoid contact with eyes. Nursing Interventions Monitor respiratory status; auscultate lungs before and after inhalation. Report treatment failure (exacerbation of respiratory symptoms) to physician. Antiocholinergic: Increased effects Tacrine: Decreased effect on both drugs Client Education Evaluation of Medication Effectiveness Improves airway clearence ACTIVE LEARNING TEMPLATES Allow 30Ð60 sec between puffs for optimum results. Do not let medication contact your eyes. Wait 5 min between this and other inhaled medications. Check with physician about sequence of administration. Take medication only as directed, noting some leniency in number of puffs within 24 h. Supervise child's administration until certain all of dose is being administered. Rinse mouth after medication puffs to reduce bitter taste. THERAPEUTIC PROCEDURE A7