Which protocol element is used for bronchospasm management?

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Rapid relief of bronchospasm is achieved with a fast-acting inhaled bronchodilator, typically a beta-2 agonist. Administering albuterol as two puffs delivers the drug directly to the airways, producing quick relaxation of bronchial smooth muscle and opening the airways within minutes. Oral prednisone addresses airway inflammation but takes several hours to take effect, so it's not useful for immediate relief. An epinephrine infusion is not a routine first-line bronchospasm protocol in most dental or outpatient settings due to its potent cardiovascular effects and the availability of safer bronchodilators, and is reserved for life-threatening situations. Hydration with IV fluids alone does not tackle bronchoconstriction and thus does not provide rapid airway relief. Therefore, the best protocol element for immediate bronchospasm management is the inhaled fast-acting albuterol two-puff dose.