Explanation
•Ipratropium bromide alone should not be used for the treatment of acute bronchospams. The patient should be instructed to use his albuterol for acute bronchospasms and his ipratropium bromide as a scheduled medication.
•Ipratropium, in combination with a short acting beta agonist, can be used in the treatment of acute bronchospasms.
•There is no indication that the patient does not have asthma or that he needs additional refills.