An 83-year-old male with a known history of heart failure pr…
Questions
An 83-yeаr-оld mаle with а knоwn histоry of heart failure presents to the ED by EMS for complaints of extreme shortness of air and respiratory distress. His initial O2 sat is 88% on room air and it improves to 94% when he is placed on oxygen at 2L per nasal cannula. On exam, he is mildly confused, has elevated JVP, hepatomegaly, 3+ pitting edema up to his knees and rales heard through all lung fields. His initial vital signs are:BP 88/65 HR 88 RR 32 Temp 98.4F Lab work: BNP 1545 (normal < 125) What best describes your initial plan of care?