A client with moderate and persistent asthma has obtained control with Salmeterol (Serevent Diskhaler Disk) as a prophylactic bronchodilator before exercise. Recently he has been using it more frequently and has awoken with an asthma attack on a few occasions. What does the nurse suspect is the possible reason for the change in his asthma condition?

Question

Quizplus · Accepted Answer

The client's increased use of Salmeterol and the occurrence of asthma attacks suggest that he may have developed a tolerance to the medication. It is important for the nurse to assess the client's medication history and compliance to ensure he is taking the medication as directed. Adjusting the dosage or switching to a different medication may also be necessary. However, the information given does not indicate that the client needs to have his dose reduced and work back up to the full dose, nor does it suggest that he is not taking the medication correctly.

A Client with Moderate and Persistent Asthma Has Obtained Control