The nurse instructs a client with asthma that quick-relief medications that should be used for acute symptoms include:
Standard Text: Select all that apply.
1. albuterol (Proventil).
2. ipratropium (Atrovent).
3. beclomethasone (Beconase).
4. cromolyn (Intal).
5. montelukast (Singulair).
Correct Answer: 1,2
Rationale 1: Albuterol is a short-acting beta-adrenergic agonist and is the preferred drug for relief of acute symptoms because it relaxes bronchial smooth muscle.
Rationale 2: Ipratropium is an anticholinergic, which can relax bronchial smooth muscle and is an alternate quick-relief drug for clients who cannot tolerate short-acting beta-adrenergic agonists.
Rationale 3: Beclomethasone is a corticosteroid that decreases inflammation. This drug prevents the incidence of bronchospasm but should not be used as a quick-relief drug.
Rationale 4: Cromolyn is a mast cell stabilizer that decreases inflammation. This drug prevents the incidence of bronchospasm but should not be used as a quick-relief drug.
Rationale 5: Montelukast is a leukotriene modifier that decreases inflammation. This drug prevents the incidence of bronchospasm but should not be used as a quick-relief drug.
Global Rationale: Short-acting beta2-adrenergic agonists like albuterol are the preferred drugs for relief of acute symptoms. If SABAs cannot be tolerated anticholinergics such as ipratropium are recommended. Beclomethasone, cromolyn, and montelukast prevent the incidence of bronchospasm, but are not used as a quick-relief drug.
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