Understanding Medication Administration for COPD

Which statement by the client indicates an understanding of how to take these medications?

1. "I will alternate a single puff of each, beginning with the albuterol."

2. "I will alternate a single puff of each, beginning with the fluticasone propionate."

3. "I will take the two puffs of the fluticasone propionate first and then the two puffs of the albuterol."

4. "I will take the two puffs of the albuterol first and then the two puffs of the fluticasone propionate."

Answer:

The correct statement by the client is to take two puffs of fluticasone propionate first and then two puffs of albuterol for COPD treatment.

Explanation:

In the treatment of chronic obstructive pulmonary disease (COPD), it is important to follow the correct sequence in administering inhaler medications. The client with COPD has been prescribed albuterol (Proventil HFA) and fluticasone propionate (Flovent Diskus). These medications serve different purposes in managing COPD symptoms.

Fluticasone propionate, a corticosteroid medication, helps to reduce airway inflammation. By taking two puffs of fluticasone propionate first, the client can benefit from the anti-inflammatory effects, which can help improve breathing by reducing swelling in the airways.

Albuterol, on the other hand, is a bronchodilator medication that helps to open up the airways. By following up with two puffs of albuterol after the fluticasone propionate, the client can further improve airflow and relieve symptoms of COPD, such as shortness of breath and wheezing.

It is essential for the client to understand the correct sequence of administration to obtain the maximum benefit from both medications and effectively manage COPD symptoms. By prioritizing the fluticasone propionate before albuterol, the client ensures the airways are prepared to receive the bronchodilator medication for optimal relief.