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 admi-nister a(n) (Select all that apply.)
a. nebulized albuterol treatment.
b. levalbuterol (Xopenex) treatment.
c. oral beta2 agonist.
d. inhaled corticosteroid.
e. leukotriene modifier.
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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