DRUGNAME:

Classification

Mechanism of Action

INDICATION/CONTRAI NDICATION

ROUTES/ DOSAGE

ADVERSE EFFECTS OF THE DRUG Fine tremor of skeletal muscles, palpitations, nervousness, urinary retention, dyspnea, exacerbation of symptoms, allergictype reactions

Side Effects

Generic Name: Ipraprotium SalbutamolBrand Name:Combivent

Functional:Par asympatholytic Bronchodilator Anticholinergic Chemical:Adre nergic beta2agonist, sympathomim etic, bronchodilator

Ipraprotium bromide:Anticholin ergic, chemically related to atropine, which blocks vagally mediated reflexes by antagonizing the action of acetylcholine. Causes bronchodilation and inhibits secretion from serous and seromucous glands lining the nasal mucosa. Salbutamol:Stimulat es beta-2 receptors of bronchioles to produce bronchodilation

INDICATIONS COMBIVENT Inhalation Aerosol is indicated for use in patients with chronic obstructive pulmonary disease (COPD) on a regular aerosol bronchodilator who continue to have evidence of bronchospasm and who require a second bronchodilator. Contraindication Hypersensitivity to the drug, tachyarrythmias, hypertrophic obstructive cardiomyopathies, hypersensitivity to atropine

Dosage:1 nebule 2.5 mgRoute:Nebu lizationFreque ncy:Q8H

Headache, dizziness, dryness of mouth, throat irritation, nausea, vomiting, GI upset

NURSING RESPONSIBILITIES /PRECAUTIONS *Assess cardiorespiratory function: heart rate and rhythm, respiration rate and breathing pattern, and breath sounds.Note adventitious sounds. *Ensure adequate hydration; provide ventilation to prevent hyperpyrexia. *Do not double doses or increase the frequency of doses. Drug should be given exactly as prescribed.Perform chest physiotherapy after nebulization. *Report rash, eye pain, palpitations, tremors, weakness, irregular heartbeat.Provide proper nutrition. Give small frequent feedings for GI upset/nausea/vomiting.