The label on a patient's prescribed metered-dose inhaler reads as follows: 'Administer three puffs as needed for shortness of breath.' Your protocols state that you can assist with only two puffs without medical direction consultation. The patient is extremely short of breath. What should you do?

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The label on a patient's prescribed metered-dose inhaler reads as follows: 'Administer three puffs as needed for shortness of breath.' Your protocols state that you can assist with only two puffs without medical direction consultation. The patient is extremely short of breath. What should you do?