Generic Name

Trade Name
Ipratroprium
Atrovent
BR

Classification
Dose
Route
Time/frequency
Anticholinergics, 0.5 mg
INH
QID PRN
bronchodilators,
allergy, cold
cough
Mechanism of action and indications (Why med
Nursing Implications (what to focus on)
ordered)
Contraindications/warnings/interactions Maintenance therapy of reversible airway obstruction
Hypersensitivity to ipratropium, atropine, belladonna
due to COPD including chronic bronchitis and
alkaloids, bromide or fluorocarbons; Peanut or soy
emphysema. Inhibits cholinergic receptors in bronchial
allergy. Avoid use during acute bronchospasm; Use
smooth muscle, resulting in decreased concentrations of
Cautiously in: Patients with bladder neck obstruction,
cGMP. Decreased levels of cGMP produce local
glaucoma, or urinary retention.
bronchodilation. For COPD.
Common side effects - CNS: dizziness, headache,
nervousness, EENT: blurred vision, sore throat, nasal
only: epistaxis, nasal dryness/irritation, Resp:
bronchospasm, cough, CV: hypotension, palpitations, GI:
GI irritation, nausea, Derm: rash, Misc: allergic reactions
Interactions with other patient drugs, OTC or herbal
Lab value alterations caused by medicine None found.
medicines (ask patient specifically) None for this
patient.
Be sure to teach the patient the following about this
medication - take medication as directed. Take missed
doses as soon as remembered unless almost time for the
next dose; space remaining doses evenly during day. Do
not double doses. Advise pt to rinsing mouth after using
inhaler, good oral hygiene, and sugarless gum or candy
may minimize dry mouth. Call Dr. if stomatitis occurs or
if dry mouth persists for more than 2 wk. Advise patient
to inform health care professional if cough, nervousness,
headache, dizziness, nausea, or GI distress occurs.