What should you do FIRST?

For mild-moderate bronchospasm in an asthmatic patient (wheezing after anesthetic injection), the FIRST step is to administer their bronchodilator (albuterol inhaler). Albuterol is a β2-agonist that causes bronchodilation. Epinephrine is reserved for anaphylaxis with systemic signs (urticaria, hypotension, severe airway compromise). Position patient upright.