A patient with chronic obstructive pulmonary disease (COPD) presents at the emergency department in acute respiratory distress
The patient's family tells the nurse that the patient's problems began right after the patient took his or her first dose of ipratropium (Atrovent). What would the nurse suspect is the problem? A) An allergy to milk
B) Overexertion by the patient
C) Patient not taking the medications correctly
D) An allergy to soy products
D
Feedback:
The use of ipratropium or tiotropium is contraindicated in the presence of known allergy to the drug or to soy products or peanuts (the vehicle used to make ipratropium an aerosol contains a protein associated with peanut allergies) to prevent hypersensitivity reactions. An allergy to milk is not associated with sensitivity to ipratropium. Overexertion would not cause the patient to develop respiratory distress after using ipratropium for the first time. Misuse of the inhaler would not cause respiratory distress.
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Name two drug references.
What will be an ideal response?