Ipratropium bromide (Atrovent) is a. a cholinergic agent used ...

[future617RT]

Ipratropium bromide (Atrovent) is
 
  a. a cholinergic agent used for perennial rhinitis.
  b. an anticholinergic used for allergic rhinitis and colds.
  c. used only in patients with asthma.
  d. inappropriate for use in patients with allergic rhinitis.

Question 2

A patient has been advised to add a topical sympathomimetic decongestant to the regimen of supportive care for a cold. The nurse should instruct the patient to
 
  a. expect the effects to be delayed at least 1 week.
  b. limit the use of this agent to 3 to 5 days.
  c. continue the agent until nasal stuffiness has resolved.
  d. stop using this agent if a fever develops.

[helenmarkerine]

Answer to Question 1

ANS: B
Ipratropium bromide is an anticholinergic that is indicated for allergic rhinitis, asthma, and the common cold. The drug reduces rhinorrhea.
Ipratropium bromide is an anticholinergic.
In addition to asthma, ipratropium bromide can be used for allergic rhinitis and the common cold.
Ipratropium bromide can be used for allergic rhinitis.

Answer to Question 2

ANS: B
Because of the potential for rebound nasal congestion, topical application should be limited to 3 to 5 days.
With topical administration, vasoconstriction is rapid and intense, leading to a quick reduction in nasal congestion.
Rebound nasal congestion can occur if the drug is used for longer than 5 days, therefore the drug should not be continued until the problem resolves.
Topical sympathomimetics are not contraindicated if a patient has a fever.

[future617RT]

TYSM

[mjenn52]

Excellent