Last night was a very hard night. I had one guy almost going to code from COPD, but we managed to prevent that. He is SO end-stage COPD. Anyway, besides him, I had another pt with failure to thrive, pneumonia who is going hospice...anyway, I was worried she sounded overloaded but needed help to listen to her back. The charge nurse and I both listened and agreed that she actually had no crackles, just some rhonchi cuz she was snoring LOL. Anyway, respiratory therapy before this had come in and said she sounded wet. My question is, I know RTs have in depth training on respiratory issues but this lady was not overtly "wet" in her lungs. I know lung assessment is often subjective but what gives here???
Also, I've been around Xopenex, Albuterol, and Atrovent since a nurse but I'm not sure exactly the distinction or why one is better than the other. Can anyone help explain. I think Xopenex is supposed to be easier on the heartrate??