I have asthma, so I can push the boundaries of medication myself. I know my limits and when I need to seek medical help. However, I'm working a home health peds case, and the doctors orders are atrovent and xopenex q4h prn. The poor little guy has been sick all week, and earlier tonight he was doing great. No wheezing, no chest tightness, no fever. Then around 0130, he flipped. Tons of wheezing and tightness, he woke up coughing up sputum.... when I finally got him back to sleep, I took the opportunity to listen to his lungs. 2 hours after the treatment he was wheezing worse than before the treatment. His sats started dropping too. I repositioned and suctioned till his trach was clear. I have his sats back up and he's stable. So my questions for you peds nurses, what would you have done?