On to another triage question, but this one involves pediatrics. Do not forget about reviewing vulnerable populations such as pediatrics, obstetrics, the elderly, or the incarcerated for their unique clinical needs.
A 4-year-old Hispanic female presents to the Emergency Department (ED) with her Spanish-speaking parents. She was born at 35 premature and her NICU stay was complicated by bronchopulmonary dysplasia. She was diagnosed with asthma six months ago and has been using her albuterol inhaler as needed every 4 hours but without a spacer. Tonight, she went over to a friend’s house to see their new kitty but started having trouble wheezing so they brought her to the ED when a dose of the albuterol failed to help alleviate her shortness of breath. She is wheezing and has dyspnea at rest. Her vitals are 90% on room air, 111 heart rate, 44 respirations, and a 98 degree F temperature. Your team is able to stabilize her in the ED. You anticipate what priority teaching needs prior to discharge?