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12-28-2009, 07:16 AM
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#1 |
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Forum Lieutenant
Join Date: Aug 2005
Location: Southwest
Posts: 101
Training: EMT-Paramedic
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Atrovent & peanut allergy
I found this interesting. Atrovent is contraindicated in pts with an allergy to peanuts.
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12-28-2009, 08:46 AM
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#2 | |
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Forum Lieutenant
Join Date: Jan 2009
Location: Calgary, AB
Posts: 115
Training: Paramedic student
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Quote:
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12-28-2009, 09:55 AM
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#3 |
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Forum Captain
Join Date: Dec 2008
Location: In the PNW
Posts: 352
Training: NREMT-P
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Actually, nebulized Atrovent doesn't pose a problem, as it was the soy lecithin additive in the propellant in the MDI's that could trigger a reaction in those with peanut and/or soy hypersensitivity.
This was discussed over the summer and there's a great post from VentMedic and others on this topic HERE.
__________________
If it can't be expressed in figures, it is not science; it is opinion. -Lazarus Long |
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12-28-2009, 11:29 AM
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#4 | |
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Forum Deputy Chief
Join Date: Dec 2008
Location: Fort Worth
Posts: 4,311
Training: NREMT-Paramedic
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Quote:
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12-28-2009, 02:20 PM
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#5 |
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Sprezzatura
Join Date: May 2009
Location: Georgia
Posts: 1,068
Training: text book reader
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Ipratropium and ipratropium/albuterol metered dose inhalers (Atrovent and Combivent); contain the phospholipid soya lecithin, a legume related to peanuts, as a suspending agent. Anaphylactic reactions have occurred in patients with allergies to peanuts or soybeans who have received Atrovent. Soya lecithin is only used in the Atrovent and Combivent inhalers; the nasal spray and nebulized solution do not contain phosphatidylcholine, phosphatidylethanolamine, and phosphotidylinositol.(the phospholipids extracted from soybean oil that formulate Soya Lechtin)
Soya Lechtin, is also contained in many everyday foods; it normally accounts for less than one percent of a food items total mass. Implication Of Food Alergies And Intolerances Of Medication Administration http://www.orthosupersite.com/view.asp?rid=26383 |
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12-28-2009, 03:17 PM
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#6 |
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Lazy Bum
Join Date: Sep 2007
Location: With the princess!
Posts: 2,277
Training: Just Enough!
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The problem is, EMT schools are still teaching this and not teaching the difference between it.
The only way your pt is getting an inhaler, is if they are prescribed it. The Dr would have checked on the allergy, prior to prescribing.
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