Exhibits Which 2 drugs would be the most appropriate to give the client now?
Explanation & Rationale
A. Albuterol via nebulizer: Albuterol is a short-acting beta-2 agonist (SABA) that provides rapid bronchodilation, making it the first-line treatment for acute asthma exacerbations. Nebulized administration is effective for quick symptom relief in clients with severe wheezing. B. Racemic epinephrine via nebulizer: Racemic epinephrine is primarily used for croup and upper airway obstruction, not for asthma exacerbations. It is not a standard treatment for bronchospasm caused by asthma. C. Budesonide via metered dose inhaler: Budesonide is an inhaled corticosteroid used for long-term control of asthma inflammation but has a delayed onset and is not appropriate for immediate relief during acute exacerbations. D. Fexofenadine orally: Fexofenadine is an antihistamine used to treat allergic rhinitis and seasonal allergies; it does not relieve bronchospasm or acute asthma symptoms. E. Levalbuterol inhaler: Levalbuterol is the active (R-) isomer of albuterol and also a SABA. It provides rapid bronchodilation and can be used as an alternative to albuterol for acute asthma symptoms. F. Salmeterol via nebulizer: Salmeterol is a long-acting beta-2 agonist (LABA) used for maintenance therapy and is not indicated for acute asthma attacks due to its slow onset of action.