A 62-year-old male with past medical history significant for…

A 62-year-old male with past medical history significant for diabetes, hypertension, hyperlipidemia, and 60 pack year smoking history comes in with complaints of respiratory distress and flu-like symptoms for the past week. Vitals are HR 105 bpm, BP 170/91 mm Hg, SpO2 87% on 5 liters per minute of oxygen via nasal cannula. He is intermittently confused but is arousable and redirectable. His arterial blood gas shows pH of 7.26, PaO2 of 97 mm Hg, PaCO2 of 61 mm Hg and HCO3 of 30.Which is the appropriate next step in intervention?

A 24-year-old female presents to the ED with a complaint of,…

A 24-year-old female presents to the ED with a complaint of, “My heart is pounding out of my chest and I’ve been short of breath for 4 hours.” She has had similar episodes, but all have spontaneously stopped. She is in good health and takes no medications. Her blood pressure is 120/80 mmHg and pulse too rapid to count. Her rhythm is shown in the following ECG. ECG2.jpg What is the most appropriate immediate management for this patient?