A 68-year-old male who has a 5-year history of systolic hear…
A 68-year-old male who has a 5-year history of systolic heart failure secondary to ischemic cardiomyopathy with a current ejection fraction (EF) of only 15%. He presents to the emergency department (ED) for shortness of breath (SOB) for the past 3 days. His shortness of breath has progressed from SOB with activity to becoming SOB at rest. The last two nights, he had to sleep in his recliner chair to rest comfortably with his head partially elevated. He can speak only a partial sentence and then tries to take a breath when talking. He has noted increased swelling in his lower legs and has gained 6 pounds in the last 3 days. He is being transferred from the ED to the cardiac step-down, where you are assigned to care for him. The health care provider prescribed: 1. Strict I & O 2. Furosemide (Lasix) 40 mg IV 3. Titrate oxygen to keep oxygen saturation above 92% Rank in order your implementations, what would you do first, second, and third?