An asthmatic patient develops difficulty breathing after local anesthetic administration (acute bronchospasm). What is the appropriate immediate management?

Acute bronchospasm in asthma is treated with a short-acting bronchodilator (albuterol) and supplemental oxygen; if anaphylaxis is suspected, epinephrine is added.Other options: Beta-blockers worsen bronchospasm; sedation/flat positioning does not relieve airway obstruction; an oral antihistamine is too slow for acute bronchospasm.Key exam takeaway: Acute asthma attack = albuterol (SABA) and oxygen; never give beta-blockers.