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FIG. 51-1  Inhaled medications commonly used in asthma treatment include β-adrenergic
                           bronchodilators, cromolyn sodium, and aerosol glucocorticoids. A, The metered-dose
                           inhaler may be held about 2 fingerwidths (1.5 inches [4 cm]) in front of the mouth. B,
                         Alternatively, an inhaler with a spacer device can be used. Clients should breathe deeply
                           once before activating the inhaler and then continue breathing in for about 5 seconds.
                         Clients then should hold their breath for 10 to 15 seconds before breathing out slowly. If a
                         second dose is needed, clients should wait 1 to 2 minutes before taking the second dose.




               Box 51-1

               Medications to Treat Restrictive Airway Problems


               Bronchodilators

               β -Adrenergic Agonists
                 2
               Inhaled


                  ▪ Albuterol
                  ▪ Arformoterol
                  ▪ Formoterol
                  ▪ Levalbuterol
                  ▪ Salmeterol


               Oral


                  ▪ Albuterol
                  ▪ Terbutaline


               Methylxanthines


                  ▪ Theophylline, oral

                  ▪ Aminophylline


               Anticholinergics




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