Your patient tells you that she is having chest tightness and wheezing four to six times per week, plus she wakes up with chest tightness and wheezing about once per week. She uses albuterol each time, with relief.
She is taking no other medication except her albuterol MDI. What other medication would you suggest be prescribed to her?
a. Levalbuterol MDI
b. Salmeterol MDI
c. Beclomethasone MDI
d. Oral tobramycin
Question 2
A patient complains of oral thrush and hoarseness since she has been using fluticasone by MDI. The physician asks you to make a suggestion to help her without discontinuing the drug. You suggest
a. inhale with a higher inspiratory flow rate.
b. switch to a DPI.
c. add a spacer and rinse the mouth after use.
d. pause 5 minutes between puffs.
The patient and his family meet with the nurse to discuss progress on the patient care plan.
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