My PA daughter almost given atrovent in ER

Posted on: Sat, 02/26/2011 - 5:12am
jessicaNJpa's picture
Joined: 12/21/2010 - 18:12

My 3 year old daughter (severe PA) was in the ER the other night for asthma exacerbation during a cold.
The nurse came in and said she was doing a breathing treatment (via nebulizer) and started to open the med container. Thinking it was maybe Albuterol and budesonide I asked "is that just albuterol?" and she said "No, it's albuterol and atrovent."
She was going to put it in there without even TELLING me. I said "isn't that the one peanut allergy patients can't have?????"
She agreed and did just the albuterol. Basically according to her it's the computer's job to alert the nurse to allergy connections like that when they want to administer a med. She said she was going to ask me if there were allergies before administering it but, seriously she was already about to dump it into the neb chamber!

1)no thanks for relying SOLELY on the computer to keep my daughter safe!
2) I heard somewhere that only atrovent in an inhaler (MDI) is contraindicated for PA patients... anyone know more about this?
3)are there other meds I should be wary of?

Thanks for any info/links, i'm relatively new at all this. I do see from a quick search of that this is a very common occurence!

Posted on: Fri, 03/04/2011 - 2:45am
cdnsmith's picture
Joined: 02/07/2011 - 09:45

Wow i never heard of this, but i am also new to all of this, hopefully someone will help, Deanne

Posted on: Fri, 03/04/2011 - 9:43am
bluegray8's picture
Joined: 04/07/2009 - 17:27

Only Atrovent in an inhaler is contraindicated in those with peanut/soy allergies. Ipatropium Bromide Inhalation Solution (generic name) is perfectly safe. In fact, I have been administering to my PA son all week. Unfortunately, we seem to be experiencing the "allergic march". First the eczema, then the food allergy, now the asthma. (which seems to be getting worse and worse). Advair inhaler is also a no no for PA individuals. Hope this helps.

Posted on: Wed, 03/23/2011 - 3:37am
jessicaNJpa's picture
Joined: 12/21/2010 - 18:12

i never heard about Advair! does it also use soy lecithin?

Posted on: Sat, 02/26/2011 - 11:39pm
chelle.tovar's picture
Joined: 04/21/2010 - 11:02

Whoa! I had no idea about this! That's why I love this website! Thank you for the heads up and I completely agree that a trained professional should not be relying solely on a COMPUTER to ask necessary questions.

Posted on: Sun, 02/27/2011 - 6:42am
jessicaNJpa's picture
Joined: 12/21/2010 - 18:12

talked to a pharmacist about it today. He didn't seem sure about the inhaler vs. nebulizer but said there's no reason I cant just add atrovent to her allergy list. even if some versions would be OK it's better to have too much on your allergy list than too few, i guess

Posted on: Thu, 02/02/2012 - 10:28am
dmand321's picture
Joined: 02/02/2012 - 17:20

i just saw your post today but right now...only the Atrovent and Combivent (combo of Atrovent and Albuterol) MDIs are contraindicated for PA patients...but Atrovent solutions for nebulizers are okay according to pharmacists and all the research online if you don't already know.

Posted on: Wed, 04/04/2012 - 2:51am
stratmom's picture
Joined: 02/27/2002 - 09:00

Wait. I need to understand this correctly. My PA teenage daughter has exercise-induced asthma and has been successfully using Atrovent for over a year. Are you saying that Atrovent alone is OK, but in combination with Albuterol it's not good for PA people?

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