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A patient with acute decompensated heart failure has the following arterial line waveform. MAP = 58 mmHg, HR 118, SpO2 90% on 4 L O2. Bilateral crackles to mid-lung. Which intervention should the nurse anticipate FIRST?
Administer IV furosemide 40 mg and initiate noninvasive positive pressure ventilation (BiPAP)
Give a 500 mL crystalloid bolus to improve MAP
Start a dobutamine drip at 5 mcg/kg/min to support cardiac output
Administer IV metoprolol 5 mg to control heart rate
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Administer IV furosemide 40 mg and initiate noninvasive positive pressure ventilation (BiPAP)
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