NURS 1556 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Name Classification Dose Route Time/frequency

Ipratroprium Atrovent Anticholinergics, 0.5 mg INH QID PRN
BR bronchodilators,
allergy, cold
cough
Peak Onset Duration For IV meds, compatibility with IV drips and /or
1-2 hr 1-3 min 4-6 hr solutions

Mechanism of action and indications (Why med ordered) Nursing Implications (what to focus on)
Maintenance therapy of reversible airway obstruction Contraindications/warnings/interactions -
due to COPD including chronic bronchitis and Hypersensitivity to ipratropium, atropine, belladonna
emphysema. Inhibits cholinergic receptors in bronchial alkaloids, bromide or fluorocarbons; Peanut or soy
smooth muscle, resulting in decreased concentrations of allergy. Avoid use during acute bronchospasm; Use
cGMP. Decreased levels of cGMP produce local Cautiously in: Patients with bladder neck obstruction,
bronchodilation. For COPD. glaucoma, or urinary retention.
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.
Nursing Process- Assessment (Pre- Assessment Evaluation Check after
administration assessment) - Assess for Why would you hold or not give this giving - respiratory status
allergy to atropine and belladonna alkaloids; med? - if severe bronchospasm is (rate, breath sounds, degree
patients with these allergies may also be present; onset of action is too slow for of dyspnea, pulse)
sensitive to ipratropium. Assess for peanut or patients in acute distress. If wheezing
soy allergy. Assess respiratory status (rate, occurs, withhold medication and
breath sounds, degree of dyspnea, pulse) notify physician or other health care
before administration . professional immediately.