A child is receiving a combination albuterol/ipratropium (DuoNeb) inhalation treatment. The patient complains of a dry mouth and sore throat. What will the nurse do?
a. Contact the provider to report systemic anticholinergic side effects.
b. Discontinue the aerosol treatment immediately.
c. Notify the provider of a possible allergic reaction.
d. Reassure the patient that these are expected side effects.
ANS: D
The most common adverse effects of this combination drug are dry mouth and irritation of the pharynx. The patient should be reassured that these are common and minor effects. Systemic anticholinergic side effects are rare. It is not necessary to discontinue the medication. Patients with peanut allergy may have severe anaphylactic reactions, but the patient's symptoms are not those associated with anaphylaxis.
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