1
Q
Classification
A
Bronchodilator, anticholinergic
2
Q
Mechanism of Action
A
- Antagonizes the acetylcholine receptors on the bronchial smooth muscle, producing bronchodilation
3
Q
Indications
A
- Asthma
- Bronchospasm associated with COPD
4
Q
Contraindications
A
- Closed angle glaucoma
- Bladder neck obstruction
- Prostatic hypertrophy
- Known sensitivity, including peanuts, soybeans, and atropine or atropine derivatives
5
Q
Adverse Effects
A
- Paradoxical acute bronchospasm
6
Q
Administration
A
- Adult: 0.5 mg every 6-8 hours nebulized
7
Q
Special Considerations
A
- Not typically used as the sole medication in the treatment of acute exacerbation of asthma. Commonly administered after a beta agonist.
- Take care to prevent aerosol spray from coming in contact with the eyes as this can cause temporary blurring of the vision.
