Page 78 - 10. Asthma
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ANSWER
c. Ipratroprium by nebulizer (with oxygen) (Anticholinergics)
No. Ipratropium isn't always as effective as another drug option listed. It can certainly be
"added" to the nebulizer if another drug-of-first-choice does not produce an adequate
relief of symptoms.
d. Salbutamol by nebulizer (with oxygen) (Reliever)
Correct. Inhaled short acting beta-2 agonists (SABAs) are drugs of choice for producing a
rapid relief from bronchoconstriction.
Note: nebulized medications are frequently given along with oxygen. If his pO2 was less
than 90%, oxygen should actually be given first to prevent a beta-2-induced
ventilation/perfusion mismatch. However this patient's pO2 was 93%.
