What should be done for a patient with asthma who has used his albuterol inhaler twice without relief?

In the case of a patient with asthma who has used their albuterol inhaler twice without relief, administering oxygen and having them use the inhaler is a critical step in providing immediate care. Albuterol is a bronchodilator that helps to relieve bronchospasm by dilating the airways, but if the patient experiences persistent symptoms despite two doses, this indicates that the asthma attack may be severe or not responsive to the medication.

Providing supplemental oxygen is essential to ensure that the patient maintains adequate oxygen saturation levels, particularly if they are in respiratory distress or showing signs of hypoxia. Furthermore, allowing the patient to use their inhaler again can provide potential relief, as repeated doses may be beneficial in prompting further bronchodilation. It is essential to monitor the patient closely after administering oxygen and encouraging the use of their inhaler, as ongoing assessment will guide any additional interventions that may be necessary, such as administering systemic bronchodilators or steroids, or considering transport to a hospital for further treatment.

This approach prioritizes both the immediate need for oxygen and the potential for further medication to alleviate the patient's symptoms, aligning well with the protocols for managing acute asthma exacerbations.