This is the case of Giovanni DeBella, a 72 year old, male who was brought to the emergency department with complaints of shortness of breath and feeling of suffocation. He was diagnosed with acute indications of heart failure wherein the heart fails to fill and eject blood necessary for circulation (Brown, Edwards, Seaton, & Buckley, 2015 p.775-776). His presenting signs and symptoms include fatigue, shortness of breath, pitting edema, crackles, tachycardia, tachypnea and oxygen saturation (O2Sat) of 91 per cent. Hence, the two nursing priorities discussed in this paper are impaired gas exchange and fluid volume overload. The management of these health issues include both collaborative and independent interventions which consist the use of
