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Posted

I remember hearing once that Ipratropium bromide should be witheld from pneumonia patients.

I am currently looking to back this up with some science but to no avail.

Does anyone have any info?

Maybe this is just something someone told me once with no reasoning behind it. Monkeys....

Anywhoo..... I had a pneumonia pt yesterday with wheezes like crazy and I witheld the Atrovent and just gave Salbutomol, now I am trying to prove to myself I did it for a reason!

Posted

Have never heard this myself, but I'll see what research I can pull from the lovely database access my university provides... perhaps it has something to do with immune response being impacted by this particular drug?

Wendy

CO EMT-B

Posted

mobey:

The current trend in thinking is that Atrovent (due to the fact that it is related to atropine) tends to dry secrections, hence with a Pnemonia the clearance of secretions may be hindered ... this does remain somewhat controversial.

cheers and hope that helps

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