A 70-year-old patient with arthritis and a tremor has a new…

A 70-year-old patient with arthritis and a tremor has a new prescription for albuterol MDI.  The patient is complaining that their shortness of breath is not relieved with a dose of albuterol.  Which of the following is contributing to the patients ineffective therapy?

Mr. Blake arrived in the ER due to a severe COPD exacerbatio…

Mr. Blake arrived in the ER due to a severe COPD exacerbation.  He received a continuous nebulizer with 10mg albuterol and 1 mg of atrovent two hours ago.  Dr. X has ordered a repeat of the continuous treatment.  The respiratory therapist should recommend which of the following?