2015 Trumbull Memorial Hospital Demo

Albuterol with Ipratropium (DuoNeb) Albuterol with Ipratropium (DuoNeb ® )

Action

Onset

Bronchodilator

Albuterol: Relief in 5 minutes Ipratropium: Peak effect in 1.5-2 hours

Indications Wheezes on auscultation Known asthmatic or COPD patient who is short of breath

Adult Dose 1 Bullet (Albuterol 2.5mg and Ipratropium 0.5mg) nebulized with 6-8 LPM O2

Pediatric Dose 1 Bullet (Albuterol 2.5mg and Ipratropium 0.5mg) nebulized with 6-8 LPM O2

Contraindications Hypersensitivity to atropine or its derivatives, or albuterol. Use with caution in tachydysrhythmias.

Adverse Reactions Cardiovascular: Palpitations, tachycardia, hypertension Central Nervous System: Tremors, dizziness, nervousness, headache, insomnia, blurred vision, ocular tremors Gastrointestinal: Nausea, vomiting Oral: Dry mouth Respiratory: Bronchospasm, cough, bronchitis, wheezing Precautions Use with caution in patients with significant cardiac history, convulsive disorders, hyperthyroidism, diabetes mellitus, or glaucoma.

Considerations None.

193

EMR

EMT

AEMT

Paramedic

Extended