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Ahmad,
a 36-year-old, is brought to your room by his wife Ibtesam.
He is very breathless and is only able to speak in single words.
Ibtesam
tells you he has had asthma for years but she has noticed he has
been taking his blue puffer more frequently lately, and for the
last few hours he has been using it about every 15-20 minutes.
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Question
3
Which of the following
statements about early treatment of severe asthma are true?
Select as many as you wish.
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a.
A face mask should be used rather than a mouth piece for nebuliser
administration of a beta2 agonist. |
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b.
When using a nebuliser patients should be advised to mouth-breathe.
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c.
A beta2 agonist can be given continuously and safely without major
adverse effects. |
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d.
If a nebuliser is unavailable, use a metered dose inhaler in the usual
dose of 2 puffs, to give rapid effect. |
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Answer 3
a.
A face mask should be used rather than a mouth-piece for nebuliser administration
of a beta2 agonist. - The
authors agree
Distressed
patients do not manage on a mouthpiece.
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