A patient prescribed a metered dose inhaler will find it A. works for lower (not upper) respiratory diseases only.
B. should be filled with medication in aerosol form only.
C. is filled with medication used to administer a fixed amount of medication per inhalation through the mouth.
D. should be filled with medication in powder form only.

Mrs. h, age 42 years, is experiencing severe rheumatoid arthritis in her wrists, fingers, and knees. the joints are quite inflamed, red, and swollen. she is sitting rigidly in a chair and refuses to put on a sweater, even though she is shivering, or let anyone touch her arms. she has been prescribed an analgesic and an anti-inflammatory drug, but her dose is not due for another hour. she is feeling nauseated, so she has not eaten for the past 8 hours. based on patient history and the signs and symptoms, discuss how the effects of pain are exacerbating her condition.