After Administering 12 Puffs of Metered Dose Inhaler (MDI) Albuterol

question 29

Multiple Choice

After administering 12 puffs of metered dose inhaler (MDI) albuterol to an acutely ill asthmatic patient in the emergency department, assessment indicates no significant improvement in symptoms. Which of the following would you now recommend?

• A) Switch over to high-dose MDI steroids.
• B) Discontinue the bronchodilator therapy.
• C) Use continuous bronchodilator therapy.
• D) Switch over to an anticholinergic agent.

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Definitions:

Thorndike

An American psychologist known for his work in comparative psychology and the theory of connectionism, emphasizing the role of rewards and punishments in learning.

Reinforcement

A process in operant conditioning that increases the likelihood of a behavior being repeated, either through positive or negative means.

Law of Effect

A psychological principle stating that behaviors followed by satisfying consequences tend to be repeated, while those followed by unpleasant consequences are less likely to be repeated.

Tone

The quality or character of sound.