Atrovent
tom
I am looking for any information regarding prehospital atrovent use, if any.
I also looking for any information about the use of nebulized atropine for
bronchospasm in the prehospital setting.
Any information regarding its use or how both drugs compare to each other
when used in nebulized form would be most helpful
Thank You.
bigpig
works by blocking the vagal reflexes which mediate bronchospasm. It is by
far most effective when used in conjunction with salbutamol. Onset of action
is 3-5 mins, lasting 4-6 hours.
It should only be used once ( per episode of SOB) Can cause urinary
retention, but this is rare. Should also take care with pts with glaucoma.
I use 500mcg with first dose of salbutamol for adults, 250mcg for kids.
tom wrote in message <7vvgrn$3thq$1...@newssvr04-int.news.prodigy.com>...
Craig McMillan
http://gut1.peds.uiowa.edu/ACUTASTH/tsld014.htm
http://www.wwrem.com/060198/0601982.htm
http://www.nhlbi.nih.gov/guidelines/asthma/asthgdln.htm
hope they help
Craig McMillan
Fleetion Medic
> Hello,
>
> I am looking for any information regarding prehospital atrovent use, if
any.
> I also looking for any information about the use of nebulized atropine for
> bronchospasm in the prehospital setting.
>
> Any information regarding its use or how both drugs compare to each other
> when used in nebulized form would be most helpful
>
> Thank You.
We use Atrovent on COPD'ers, usually in the form of a "combi-vent"
updraft...Atrovent and Albuterol mixed in nebulizer. We have pretty good
success with the combi-vent over when we used to only have the Albuterol to
use.
Jeff
----------------------------------------------------------
Fleetion Medic
Air goes in and out...blood goes 'round and 'round...
any deviation to this is considered a BAD thing!!!
Don Elton
bronchodilators compared to albuterol. They're very safe (the only way to
kill a rat with Atrovent is to drown him in it) but don't add much to
albuterol. There's conflicting data as to whether anything is added to
standard albuterol with Atrovent though there is a little more data to
suggest it's more helpful in children than adults.
On Fri, 5 Nov 1999, tom wrote:
> Hello,
>
> I am looking for any information regarding prehospital atrovent use, if any.
> I also looking for any information about the use of nebulized atropine for
> bronchospasm in the prehospital setting.
>
> Any information regarding its use or how both drugs compare to each other
> when used in nebulized form would be most helpful
>
> Thank You.
>
>
>
>
--
Don Elton
del...@cts.com
Columbia, SC
Gary Saffer
years ago. We use it for patients that are already on it, in addition to
Albuterol. Generally, we mix both together. I haven't noticed that much
benefit from it.
Gary
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AdvertGuru
an anticholinergic, its effects (primarily) are to prolong the bronchodilation
that albuterol provides.
bob...@emt-p.org
>Atrovent was added to the list of approved Meds in Massachusetts about two
>years ago. We use it for patients that are already on it, in addition to
>Albuterol. Generally, we mix both together. I haven't noticed that much
>benefit from it.
>
>Gary
>
us is that the neb lasts longer, so no fussing with setting up a repeat neb.
Bob Ball
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JR NREMTP
think the biggest benefit is that a majority of the COPD patients we see take
albuterol. When we are called they have usually already taken their albuterol
with no releif and we get there and give them the same thing. Maybe the
atrovent will releive their symptoms. We might not see the benefit in the feild
depending on how long our transport times are because the onset of is much
slower with atrovent but it has a longer duration than albuterol.
ScoobyRCP
>From: jrnr...@aol.com (JR NREMTP)
>I
>think the biggest benefit is that a majority of the COPD patients we see take
>albuterol. When we are called they have usually already taken their albuterol
>with no releif and we get there and give them the same thing. Maybe the
>atrovent will releive their symptoms. We might not see the benefit in the
>feild
>depending on how long our transport times are because the onset of is much
>slower with atrovent but it has a longer duration than albuterol.
Actually most COPD'ers are already on one form of Atrovent (Ipatroprium
bromide) or another. They may be using a metered dose inhaler or the nebulized
version. Despite this fact it makes good sense to administer it in conjunction
with the Albuterol simply because it promotes bronchodilation via different
mechanisms than does the Albuterol. It also works synergistically with
Albuterol thereby, in some patients, extending the time of therapeutic action.
Scooby
RCP, EMT-P
Perinatal-Pediatric Respiratory Specialist
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