Assignment task:
Create an assessment and evidence-based plan as a CVICU FNP for • A 47-year-old male with PMH of HTN presented with shortness of breath and altered mental status in acute respiratory distress, as evidenced by tachypnea, use of accessory muscles, and hypoxia on arrival to the Emergency Department (ED). He was placed on BiPAP with improved mental status and was weaned down to Optiflow 50L/80%. During this time, the provider was able to find out he has a history of hypertension which is treated and monitored with lifestyle modifications. He works as a music teacher, and he is single. He requested to be a full code (he would like CPR and intubation if required). He reported chest tightness, shortness of breath, cough, and chills for the last week. • He received 2 liters of normal saline, ceftriaxone 2g, azithromycin 500 mg, Solu-Medrol 125 mg, Magnesium sulfate 4g IV, and DuoNeb x 3 in the ED. After several hours in the ED, waiting for the ICU bed, the patient started to have a change in mental status with persistent desaturation and increased work of breathing. He required intubation. Post-intubation chest x-ray revealed left pneumothorax, and subsequently, a medium-bore chest tube was