Sunday, March 28, 2010

atrovent

As i'm now study about atrovent, why not i shared it with you...so let's check it..

a.k.a ipratropium bromide

Indications:
> bronchospasm in chronic bronchitis and emphysema
> rhinorrhea caused by allergic and nonallergic perennial rhinitis
> rhinorrhea caused by the common cold
> rhinorrhea caused by seasonal allergic rhinitis

Action:
Inhibits vagally mediated reflexes by antagonizing acetylcholine at muscarinic receptors on bronchial smooth muscle

Adverse reactions:
> CNS: dizziness, pain, headache, nervousness
> CV: palpitations, hypertension, chest pain
> EENT: blurred vision, rhinitis, pharyngitis, sinusitis, epistaxis
> GI: nausea, GI distress, dry mouth
> Musculo: back pain
> Resp: URTI, bronchitis, cough, dyspnea, bronchospasm, increases sputum
> Skin: rash

Nursing considerations:
> if patient uses a face mask for a nebulizer, take care top prevent leakage around the mask because eye pain or temporary blurring vision may occur

Patient teaching:
> Teach patient to perform oral inhalation correctly. Give the following instructions for using an MDI:
-----> shake canister
-----> clear nasal passages and throat
-----> breathe out, expelling as much air from lungs as possible
-----> place mouthpiece well into mouth, and inhale deeply as you release dose from inhaler
-----> hold breath for several seconds, remove mouthpiece, and exhale slowly

so, hope your knowledge is increasing..

No comments: