
I think you need to find a decent behaviourist to help you get started on a counterconditioning and desensitisation plan, in person. Noise phobias generalise really well, as you're finding, and they can be very hard to address once well seated.
I'd also talk to the vet about prescription meds for daily use rather than only situational, as it sounds like she is starting to struggling on a daily basis which will seriously impede learning (but I'd also try something different for one-off stuff). And while you're there, I'd talk to them about starting joint support and possible sources of pain (e.g. perhaps some arthritis starting that hasn't shown externally yet), as noise phobias and pain very, very often present together.