Mrs. Jones, a 59-year-old white female greeted you at the door with complaints of shortness of breath after cleaning her dusty closet. You are seeing her for a home visit because she was just...

If you must give the two inhalers together, how will you teach the patient to do it? Include the sequence, patient teaching and possible adverse effects.

Extracted text: Mrs. Jones, a 59-year-old white female greeted you at the door with complaints of shortness of breath after cleaning her dusty closet. You are seeing her for a home visit because she was just discharged from the hospital for exacerbation of her chronic obstructive pulmonary disease (COPD). She had similar symptoms approximately a week and a half ago from an exacerbation of her COPD. Mrs. Jones past medical history is significant for coronary artery disease, myocardial infarction, COPD, hypertension, peripheral vascular disease, tobacco usage, and obesity. You heard wheezing on expiration when you auscultated her chest. The patient has two metered dose inhalers (MDI) prescribed to her- Proventil inhaler 2 puffs every 4-6 hours and Beclomethasone Dioprionate inhaler two puffs, once daily. Her other medications aside from the MDI's, include hydralazine 50 mg by mouth, 3 times per day, hydrochlorothiazide 25 mg by mouth daily, aspirin 81 mg by mouth daily, clopidogrel 75 mg by mouth daily, and isosorbide mononitrate 60 mg by mouth daily.