The patient presented to the emergency room with an Spo2 of 80% on room air, and he was taking rapid deep breaths as though starving for air.
The respiratory therapist was called to duty and placed an NRB mask upon the patient's face, improving the SpO2 reading to 95%. The air hunger of the patient immediately subsided. The RT then auscultated the patient and heard rhales in the bases, a sign that the patient was probably wet.
Right then the good doctor came into the room and, before listening for lung sounds, he told the RT to give a Duoneb to the patient. The RT said, "No problem."
While giving the treatment the RT pondered as to why the physician ordered albuterol, especially when it was obvious the patient was wet. He wondered how adding 0.5cc of albuterol solution, 2.5 mg of ipatropium bromide solution and 3cc of normal saline to the the fluid already present in the patients lungs would resolve this man's heart failure.
He looked away from the patient and at the monitor, where the vitals showed a heart rate of 112, a respiratory rate of 32, and a blood pressure of 90 over 20. That is when the aha moment occurred.
The therapist slapped himself alongside the head, and thought: "Duh! I should have figured this out earlier. The physician figured the low pressure could be treated by the side effects of albuterol This made sense.
In this case the albuterol was lowpressorolin. This made sense considering low pressure is best treated with lowpressorolin.
The RT snickers, and the nurse in the room looks at him funny. "What's so funny?" she asked. "Oh, nothing," said the enlightened RT. He then rushed up to the RT cave and added yet another 'olin to the long list of Ventolin Types.