Your patient carries an albuterol MDI, which she claims to use every few weeks. She complains that the first dose actuated from the device seems to have no effect on her bronchospasm. What suggestion would you make to correct the problem?
a. Discharge a waste dose before using the MDI
b. Replace the device
c. Administer three actuations instead of the two that her physician prescribed
d. Recommend use of a small volume nebulizer
ANS: A
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