The client receives ipratropium (Atrovent) via inhalation for the treatment of chronic asthma. The nurse plans to do medication education with the client. What will the best plan by the nurse include?
1. Wait 15 minutes before using any other inhaled medications.
2. The medication may also be used for acute asthma attacks.
3. Report any increased dyspnea.
4. Report any changes in urinary pattern.
5. Use the medication consistently, not occasionally.
3,4,5
Rationale 1: It is only necessary to wait 2–3 minutes, not 15 minutes, between inhaled medications.
Rationale 2: Anticholinergic drugs will not terminate an acute asthma attack, as peak effects may take 1 to 2 hours.
Rationale 3: The client should be advised to report any symptoms of deteriorating respiratory status such as increased dyspnea.
Rationale 4: Anticholinergic drugs can result in urinary retention, and the client should report any changes in urinary patterns.
Rationale 5: To get the most benefit from ipratropium (Atrovent), it must be used consistently.
Global Rationale: The client should be advised to report any symptoms of deteriorating respiratory status such as increased dyspnea. Anticholinergic drugs can result in urinary retention, and the client should report any changes in urinary patterns. To get the most benefit from ipratropium (Atrovent), it must be used consistently. It is only necessary to wait 2–3 minutes, not 15 minutes, between inhaled medications. Anticholinergic drugs will not terminate an acute asthma attack, as peak effects may take 1 to 2 hours.
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