Ms. Sorenson is a 72-year-old female who presents to your sm…

Ms. Sorenson is a 72-year-old female who presents to your small-town emergency department complaining of sudden onset of severe chest pain and shortness of air. She is anxious and appears to be very uncomfortable. Her VS are as follows:BP 178/90 P 70 RR 20 O2 sat 96% on 2L O2 by nasal cannula. You order a CKMB and troponin. Lab is:CKMB: elevated Troponin: 3.6 ng/mL (normal

An 83-year-old male with a known history of heart failure pr…

An 83-year-old male with a known history 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?