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Ipratropium eye exposure — GPhC CRA MCQ

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ModerateRespiratory TherapeuticsIpratropium eye exposureGPhC CRA

A patient using ipratropium nebuliser via a poorly fitting mask has eye pain and blurred vision after treatment. He has a history of narrow-angle glaucoma. What is the most appropriate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: C — Advise urgent medical review and check nebuliser mask fit

Nebulised antimuscarinics can precipitate or worsen narrow-angle glaucoma if aerosol reaches the eye. Eye pain and blurred vision in this context need urgent assessment. Improving mask fit or using a mouthpiece may reduce ocular exposure. Increasing the dose would increase risk.

Reference: BNF