Which two medications are important to give with albuterol to prevent bronchospasm?

Which two medications are important to give with albuterol to prevent bronchospasm?

• A. Mucomyst and hypertonic saline
• B. Ipratropium and fluticasone
• C. Normal saline and dextrose
• D. Methylprednisolone and prednisone

Answer: (A)

Bronchospasm risk can be triggered by certain inhaled airway clearance therapies, especially when thinning mucus or hydrating airways. Acetylcysteine (Mucomyst) and hypertonic saline are two such treatments that can irritate the airways and provoke bronchoconstriction in some patients. To prevent that reaction, a fast-acting bronchodilator like albuterol is given beforehand. Albuterol relaxes the airway smooth muscle, reducing the likelihood of bronchospasm during administration of these therapies. That’s why mucomyst and hypertonic saline are the two meds typically given with albuterol to prevent bronchospasm. Other options listed don’t play that preventive role for this specific situation: they are either not inhaled mucolytics/irritants, or they serve different therapeutic purposes (systemic steroids or IV solutions) and aren’t used in this pre-treatment context.

Bronchospasm risk can be triggered by certain inhaled airway clearance therapies, especially when thinning mucus or hydrating airways. Acetylcysteine (Mucomyst) and hypertonic saline are two such treatments that can irritate the airways and provoke bronchoconstriction in some patients. To prevent that reaction, a fast-acting bronchodilator like albuterol is given beforehand. Albuterol relaxes the airway smooth muscle, reducing the likelihood of bronchospasm during administration of these therapies. That’s why mucomyst and hypertonic saline are the two meds typically given with albuterol to prevent bronchospasm. Other options listed don’t play that preventive role for this specific situation: they are either not inhaled mucolytics/irritants, or they serve different therapeutic purposes (systemic steroids or IV solutions) and aren’t used in this pre-treatment context.