A child is receiving a combination albuterol/ipratropium (DuoNeb) ...

[geoffrey]

A child is receiving a combination albuterol/ipratropium (DuoNeb) inhalation treatment. The patient complains of a dry mouth and sore throat. What will the nurse do?
 
  a. Contact the provider to report systemic anticholinergic side effects.
  b. Discontinue the aerosol treatment immediately.
  c. Notify the provider of a possible allergic reaction.
  d. Reassure the patient that these are expected side effects.

Question 2

A patient has just received a prescription for fluticasone/salmeterol (Advair Diskus). What will the nurse include as part of the teaching for this patient about the use of this device?
 
  a. You do not need good hand-lung coordination to use this device.
  b. You will begin to inhale before activating the device.
  c. You will need to use a spacer to help control the medication.
  d. You will take 2 inhalations twice daily.

[tofugiraffe]

Answer to Question 1

ANS: D
The most common adverse effects of this combination drug are dry mouth and irritation of the pharynx. The patient should be reassured that these are common and minor effects. Systemic anticholinergic side effects are rare. It is not necessary to discontinue the medication. Patients with peanut allergy may have severe anaphylactic reactions, but the patient's symptoms are not those associated with anaphylaxis.

Answer to Question 2

ANS: A
The Advair Diskus is a dry powder inhaler and is activated by inhalation; therefore, hand-lung coordination is not required. There is no need for a spacer. Patients who use the Diskus take 1 inhalation twice daily.

[geoffrey]

Both answers were spot on, thank you once again

[tofugiraffe]

Great! Please up vote