A client with asthma is using ipratropium (Atrovent). What is the most appropriate teaching point for this client?
1. Limit outside activity.
2. Monitor serum glucose.
3. Increase outside activity.
4. Decrease fluid intake.
Correct Answer: 1
Rationale 1: Instruction to limit outside activity should be given to the client because ipratropium (Atrovent) is an anticholinergic, and can therefore inhibit sweat gland secretions due to direct blockade of the muscarinic receptors on the sweat glands. By limiting outside activity, especially when the weather is hot, the client avoids possible heatstroke. Sweating is necessary for clients to cool down, so this inhibition of sweating can increase their risk for hypothermia.
Rationale 2: Monitoring serum glucose does not apply to this medication.
Rationale 3: Ipratropium (Atrovent) is an anticholinergic, and can therefore inhibit sweat gland secretions due to direct blockade of the muscarinic receptors on the sweat glands. By limiting outside activity, especially when the weather is hot, the client avoids possible heatstroke. Sweating is necessary for clients to cool down, so this inhibition of sweating can increase their risk for hypothermia.
Rationale 4: A client taking anticholinergics should increase fluid intake.
Global Rationale: Instruction to limit outside activity should be given to the client because ipratropium (Atrovent) is an anticholinergic, and can therefore inhibit sweat gland secretions due to direct blockade of the muscarinic receptors on the sweat glands. By limiting outside activity, especially when the weather is hot, the client avoids possible heatstroke. Sweating is necessary for clients to cool down, so this inhibition of sweating can increase their risk for hypothermia. Monitoring serum glucose does not apply to this medication. A client taking anticholinergics should increase fluid intake.
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