Kenneth Bronson is a 27-year-old male who was just admitted to the Medical Unit from the Emergency Department. He presented to the Emergency Department two hours ago with chest tightness, difficulty...

Kenneth Bronson is a 27-year-old male who was just admitted to the Medical Unit from the Emergency Department. He presented to the Emergency Department two hours ago with chest tightness, difficulty breathing, a productive cough for a week, and fever. Chest x-ray revealed right lower lobe pneumonia. IV was started of normal saline at 75 mL per hour. He is receiving oxygen at 2 L/min per nasal cannula. SpO2on room air was 90%, which increased to 95% with supplemental oxygen. He had a temp of 102.6°F and was given acetaminophen 1,000 mg in the Emergency Department. The pharmacy just delivered the antibiotics to be given.

Would you do anything different for a patient experiencing respiratory distress?

Would you do anything differently if Kenneth had told you he had been using e-cigarettes?

How would the RN collaborate with the hospital pharmacist to prevent anaphylaxis?

What evidence-based interventions would you perform on Kenneth?