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Type Anticholinergic bronchodilator
Presentation 1 ml plastic nebule; containing 250 mcg Ipratropium Bromide
Actions 1. Bronchodilator 2. Blocks vagal reflexes which mediate bronchoconstriction 3. Possibly more effective when used in combination with Salbutamol
Use Bronchospasm from any cause; as an adjunct to Salbutamol
Adv effects Rare with single use Occasionally – urine retention
Contras Known hypersensitivity
Precautions Care needed with use in patients with glaucoma
Dose Adult:500 mcg – mixed with 1st, then 3&5 doses of Salbutamol Paediatric:250 mcg Use with MDI/Spacer mild to moderate, no hypoxia and familiar with use 1. Adult >6 yrs 4 x 21mcg (4 puffs) 2. Child < 6 yrs 2 x 21mcg ( 2 puffs)
Created by: mattypepper