6th May 2025

A 63-year-old man is brought in by ambulance with difficulty breathing and a peripheral oxygen saturation of 84%.

A 63-year-old man is brought in by ambulance with difficulty breathing and a peripheral oxygen saturation of 84%. He has a known diagnosis of heart failure with an ejection fraction of 20%. A chest X-ray confirms pulmonary oedema and he has been given IV furosemide and 15L oxygen via a non-rebreather mask. An ABG is taken and the results are as follows

Which management option should be considered next?

Select the SINGLE most appropriate option from the list below. Select ONE option only.