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Go to the pharmacy and buy a pulse oximeter. Check her oxygen now and then, and especially when she's having these spells. Should be in the 90's. If it's not? Something's going on. Maybe she needs oxygen....?
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Give her the Xanax. It will help the panic attacks that are associated with shortness of breath. If you skip doses there is a nasty rebound effect. If the Rx says twice a day, give it twice a day.
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