Any chance she's going into shed? I know my big BCI gets kinda noisy when shes rdy to shed. I think its the scales/skin inside the nasal passages loosening up. Heat pad set to 92F is good and I would keep the ambient around 85F all the time. Humidity is decent as well. Anyways if you didn't see any discharge around the mouth/nose and don't see her stargazing or yawning excessively, I would just keep the temps up and watch her. Yawning is a sign of shedding too but in an RI, you will notice it a lot more as well in bad cases, they can sit with their mouth actually opened alittle but by that point, I'm sure you will see discharge.
I would pick up either Chlorhexadine or F10 to use as your cage cleaning cleaner.
Snakes are usually pretty hardy. Like I said, I would keep those temps and watch her to see if she is going into shed. the one nostril thing kind of leads me to believe that as my Big BCI girls nostrils both get tiny when she is getting rdy to shed and like I said, she kind of gets noisy, not clicking or gurgling but a much more vocal breathing. I attribute this to the tiny nostrils. After shed though, her nostrils and are large normal size and she is quiet again. It wont hurt to take her to the vet except a bunch of stress on her so I mean, if you want to, by all means do it. But if it was me personally, I would wait until next week and see if she goes blue into shed and/or if that noise comes back or you see symptoms I mentioned above. Then I would definitely make an appointment for following Monday. Generally antibiotics are pretty rough on a reptiles system and you don't want to use them unless you really need to because the stress and stuff can lower their immune system and then they really can get ill.
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