What nursing actions are indicated to maximize the rapeutic effects? (5 pts)

TinaBremmeris a 20-year-old collegestudentwithmoderatepersistentasthma. Shehas a cold.
Whiledashingacrossthecampuson a coldfallday, shesuffersanasthmaattack. Hergirlfriend, whoiswithher,
knowsthatTinakeepshermedicationinherbackpack. SheopensTina’spack, findsaninhaler, andgivesittoher.
Tinausestheinhaler, butinsteadofachievingrelief, shegoesintobronchospasm.
Sheistakentotheemergencyroomofthenearesthospital.
Dataobtainedfromthenursingassessmentincludethefollowing:
• Lungsoundshavebilateralwheezes, withdiminishedsoundsatbases
• Pulseoximetry 92% onadmissiontothe ER
• Otherphysicalassessmentnormal
• Vitalsigns: temperature, 97.7°F; pulse, 110; respirations, 26 andshallow; bloodpressure, 120/86
Thepatientiscurrentlyonmedicationsthatincludealbuterolinhaler, twopuffs q4h prn,
andflunisolideoralinhalant, 2 puffsbideveryday.
CaseStudyQuestions
1. ProvidetherationaleforwhyMs. Bremmerisprescribedtheseinhalers. (10 pts)
2. WhatcontraindicationsorprecautionswouldeliminatetheuseofthesedrugsforMs. Bremmer? (5 pts)
3. WhatpatientvariablesaremostimportanttoconsiderforMs. Bremmerwhenassessingherdrugtherapy? (5
pts)

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