NORCET 3 - 2022 (Shift-1)
Medical Surgical Nursing
Hard
In a patient, the physician prescribes to inhale beclomethasone and Albuterol (Ventolin HFA) for the treatment of asthma. As a Nursing Officer, how will you administer these medications?
Appeared in: NORCET 3 - 2022 (Shift-1)
Explanation
- Albuterol is a short-acting beta-agonist (SABA), which is a type of bronchodilator. Its primary function is to quickly open up constricted airways.
- Beclomethasone is an inhaled corticosteroid (ICS) that works by reducing inflammation in the airways.
- Administering the bronchodilator (Albuterol) first widens the airways, allowing the corticosteroid (beclomethasone) to be inhaled more deeply and effectively into the lungs.
- This sequence maximizes the therapeutic benefit of both medications, providing immediate symptom relief from the bronchodilator and ensuring the anti-inflammatory medication reaches its target site.
- The recommended waiting period between administering the two different types of inhalers is typically 2 to 5 minutes.
Why Other Options Were Wrong
- Option A: Administering the corticosteroid (beclomethasone) first is incorrect because if the airways are constricted, the medication cannot penetrate deep into the lungs, reducing its effectiveness.
- Option C: Patient preference does not determine the order of administration. The sequence is based on the pharmacological action of the drugs to ensure maximum therapeutic efficacy and patient safety.
- Option D: This option is vague and incorrect. The administration order is specific and not interchangeable. Administering them 'alternatively' does not follow the evidence-based guideline for maximizing drug efficacy.
Related Visual
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Clinical Relevance
- Nursing practice connection: Use the key finding related to Pharmacology and Medication Administration to guide bedside assessment, documentation, and the next nursing action.
- Proper patient education on inhaler technique is a critical nursing responsibility to ensure effective asthma management and prevent exacerbations.
- Failure to follow the correct sequence can lead to poor symptom control and under-treatment of airway inflammation, increasing the risk of severe asthma attacks.
- Nurses must instruct patients to rinse their mouth after using an inhaled corticosteroid to prevent oral candidiasis (thrush), a common local side effect.
How to Approach the Question
- First, identify the drug classes of the medications mentioned. Albuterol is a bronchodilator (SABA), and beclomethasone is a corticosteroid (ICS).
- Recall the primary function of each drug class in asthma treatment: bronchodilators open the airways, and corticosteroids reduce inflammation.
- Apply the principle of medication sequencing for inhaled asthma drugs: always open the airways first to allow the anti-inflammatory medication to reach its site of action.
- Therefore, the bronchodilator (Albuterol) must be administered before the corticosteroid (beclomethasone).
- Evaluate the options based on this principle. The option stating 'First administer albuterol then administer beclomethasone' is the correct choice.
Concept Tested & Keywords
- Concept Tested: Pharmacology and Medication Administration
- Stem keywords: beclomethasone, Albuterol, Ventolin HFA, asthma, administer medications
- Lead-in keywords: how will you administer
Question ID
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Practise the full NORCET 3 - 2022 (Shift-1)
Attempt every question from this paper in a timed mock, then review the full solution for each one.
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