An asthmatic patient comes to the emergency department (ED) with edema of the glottis, chest tightening, and wheezing. The nurse suspects severe bronchospasm and should prepare to administer a(n) (Select all that apply.)
a. nebulized albuterol treatment.
b. levalbuterol (Xopenex) treatment.
c. oral beta2 agonist.
d. inhaled corticosteroid.
e. leukotriene modifier.
ANS: A, B
A nebulizer is the quickest delivery method, and short-acting beta-adrenergic agonists, such as albuterol and levalbuterol, treat acute bronchospasm.
An oral medication would not work quickly enough for a severe bronchospasm attack.
An inhaled corticosteroid would help inflammation but would not be the most effective choice.
A leukotriene modifier is effective as a mucolytic, therefore it would not be the correct choice.
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