NURS 1566 Clinical Form 3: Clinical Medications Worksheets

Generic Name Trade Name Classification Dose Route Time/frequency

ipratropium Atrovent HFA Anticholinergics, 0.5 mg INH Q 6 hr.
bronchodilators
Peak Onset Duration Normal dosage range
1-2 hr 5-15 min 3-4 hr (up to 8 hr) Via nebulization--250-500 mcg 3-4 times daily
given q 6-8 hr as needed (up to 500 mcg q 4 hr)
Why is your patient getting this medication For IV meds, compatibility with IV drips and/or
Maintenance therapy of reversible airway obstruction solutions
due to COPD n/a

Mechanism of action and indications Nursing Implications (what to focus on)

(Why med ordered) Contraindications/warnings/interactions
Inhibits cholinergic receptors in bronchial smooth Geriatric patients (may be more sensitive to effects)
muscle, resulting in decreased concentrations of cyclic
guanosine monophosphate (cGMP). Decreased levels Common side effects
of cGMP produce local bronchodilation, dizziness, headache, nervousness
Bronchodilation without systemic anticholinergic
effects

Interactions with other patient drugs, OTC or
herbal medicines (ask patient specifically)
None for this pt
Nursing Process- Assessment
(Pre-administration assessment)
Assess respiratory status (rate, breath
sounds, degree of dyspnea, pulse) before
administration and at peak of medication
Lab value alterations caused by medicine
none
Be sure to teach the patient the following about
this medication
Instruct patient in proper use of inhaler, nebulizer, or
nasal spray and to 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 patient that rinsing mouth after using
inhaler, good oral hygiene, and sugarless gum or
candy may minimize dry mouth. Health care
professional should be notified if stomatitis occurs
or if dry mouth persists for more than 2 wk
Assessment Evaluation
Why would you hold or not give Check after giving
this med? Decreased dyspnea,
If severe bronchospasm is present; If Improved breath sounds
paradoxical bronchospasm
(wheezing) occurs