Do not get Ipratropium Bromide mg and Albuterol Sulfate 3 mg in your eyes . Be careful not to spray Ipratropium Bromide mg and Albuterol Sulfate 3 mg in your eyes while you are using your nebulizer. Ipratropium Bromide mg and Albuterol Sulfate 3 mg can cause the following short-term eye problems:
• Enlarged pupils
• Blurry vision
• Eye pain
Ipratropium Bromide mg and Albuterol Sulfate 3 mg can cause a serious eye problem called narrow-angle glaucoma or worsen the narrow-angle glaucoma you already have.
Endotracheal intubation and ventilation for impending respiratory failure:
Intubation and mechanical ventilation can be life-saving interventions but their use in paediatric patients with asthma have been associated with significant adverse effects. Up to 26% of children intubated due to asthma have complications, such as pneumothorax or impaired venous return, and cardiovascular collapse because of increased intrathoracic pressure  . Mechanical ventilation during an asthma exacerbation is associated with increased risk of death and should be considered as a last resort and only in conjunction with the support of a paediatric ICU specialist.