The nurse is monitoring a patient who is receiving an inhalation treatment with pentamidine (NebuPent). The patient begins to cough and states that he is having trouble breathing. What is the best action by the nurse?
a. Administer a PRN dose of a bronchodilator.
b. Discontinue the inhalation treatment.
c. Nothing, because these are expected adverse effects of pentamidine.
d. Reduce the rate of the inhalation treatment.
ANS: A
Cough and bronchospasm are the most common adverse reactions associated with inhaled pentamidine. These reactions can be controlled with an inhaled bronchodilator. Reducing the rate of the inhalation treatment or discontinuing the treatment is not an appropriate action. Doing nothing is not sufficient when the patient is having trouble breathing.
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