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
Question 2
Your patient informs you that she keeps her albuterol MDI stored in her refrigerator because she feels that this keeps the medication fresher for a longer time. What is your best response?
a. Tell her that is a fine idea and that you may make the same recommendation to other patients.
b. Suggest that she put it in the freezer instead because the colder temperature may keep the drug fresher for a longer time.
c. Request that she no longer refrigerate the canister but instead store it at room temperature.
d. Tell her to place the MDI in the bottom drawer of the refrigerator because this will keep it the freshest.
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