Adverse Effect of LABA in COPD Patient

A 72-year-old female patient with a history of chronic obstructive pulmonary disease (COPD) is prescribed a long-acting beta-agonist (LABA) for bronchodilation. Prior to starting the medication, the nurse must assess the patient for any potential adverse effects or contraindications associated with this class of drugs.

As the nurse reviews the patient's medical history, she notes that the patient is currently taking an oral corticosteroid and a beta-blocker for management of hypertension. Based on this information, fill in the blank with the adverse effect of LABAs that requires immediate medical attention.

The patient is at risk for experiencing ____________ , which can manifest as rapid heartbeat or chest pain, and may necessitate a thorough evaluation of their current medications.