A client is being discharged with albuterol (Proventil) and beclomethasone dipropionate (Vanceril) to be administered via inhalation three times a day and at bedtime.
Client teaching regarding the sequential order in which the drugs should be administered includes:
A . Glucocorticoid followed by the bronchodilator
B . Bronchodilator followed by the glucocorticoid
C . Alternate successive administrations
D . According to the client’s preference
Answer: B
Explanation:
(A) The client would not receive therapeutic effects of the glucocorticoid when it is inhaled through constricted airways.
(B) Bronchodilating the airways first allows for the glucocorticoid to be inhaled through open airways and increases the penetration of the steroid for maximum effectiveness of the drug.
(C) Inac- Inaccurate use of the inhalers will lead to decreased effectiveness of the treatment.
(D) Client teaching regarding the use and effects of inhalers will promote client understanding and compliance.
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