BF state that h had taken his Advair that morning, then again when he started to feel short of breath. He states, “It did not help,” and wants to know why he has to remain on it. Is fluticasone/salmeterol (Advair) appropriate for use during an acute asthma attack? Explain.

Respiratory Case Study:

Scenario: BF, a 31 year-old man who lives in a small mountain town in West Virginia, is highly allergic to dust and pollen and has a history of mild asthma. BF’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler, he was unable to lie down, and he began to use accessory muscles to breathe. BF is immediately started on 4L of oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases (ABG) is sent to the laboratory. BF appears anxious and says that he is short of breath.

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