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EMR
EMT
AEMT
Paramedic
Extended
Albuterol with Ipratropium (DuoNeb)
Action
Onset
Bronchodilator
Albuterol: Relief in 5 minutes
Ipratropium: Peak effect in 1.5-2 hours
Indications
Wheezes on auscultation
Known asthmatic or COPD patient who is short of breath
Adult Dose
1 Bullet (Albuterol 2.5mg and Ipratropium 0.5mg) nebulized with 6-8 LPM O2
Pediatric Dose
1 Bullet (Albuterol 2.5mg and Ipratropium 0.5mg) nebulized with 6-8 LPM O2
Contraindications
Hypersensitivity to atropine or its derivatives, or albuterol. Use with caution in tachydysrhythmias.
Adverse Reactions
Cardiovascular: Palpitations, tachycardia, hypertension
Central Nervous System: Tremors, dizziness, nervousness, headache, insomnia, blurred vision, ocular tremors
Gastrointestinal: Nausea, vomiting
Oral: Dry mouth
Respiratory: Bronchospasm, cough, bronchitis, wheezing
Precautions
Use with caution in patients with significant cardiac history, convulsive disorders, hyperthyroidism, diabetes
mellitus, or glaucoma.
Considerations
None.
Albuterol with Ipratropium (DuoNeb
®
)