Hospitalist orders breathing treatments on patient. I am unfamiliar with patient and ask why we are doing these treatments, patient does not have a respiratory history and is not here for a respiratory problem. Hospitalist explains she has CHF, and the excess fluid is causing pulmonary edema, causing shortness of breath when patient lays down flat in supine position. Patient’s CHF is around 30,000 (normal for her age is 500-1000). So she is definitely fluid overloaded. I tell hospitalist albuterol won’t do anything, you need to give diuretics so patient can pee off that excess fluid. Hospitalist says to continue with treatments anyway “just in case”.
Give patient breathing treatment. Notice that patient is hooked up to a half empty IV bag of saline and is receiving extra fluids via IV.