A patient is prescribed an inhaled bronchodilator and an inhaled corticosteroid. What precaution for using these drugs does the nurse stress to the patient?
a. "Use the corticosteroid right before meals to reduce mucus secretion."
b. "Use the bronchodilator inhaler only in the morning to prevent sleep difficulties."
c. "Use the bronchodilator first, wait at least 5 minutes, then use the corticosteroid."
d. "Use the corticosteroid first, wait at least 5 minutes, then use the bronchodilator."
C
When a patient is prescribed both an inhaled bronchodilator and anti-inflammatory, give the bronchodilator first, then wait at least 5 minutes before giving the inhaled anti-inflammatory. Giving the bronchodilator first allows the greatest widening of the airways so that the an-ti-inflammatory can be inhaled more deeply into the respiratory tract and be more effective.
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