Problem: Patient just arrived to the Emergency Department in moderate respiratory distress. Initial assessment reveals a HR in the 110s, BP in the 140s/100s, RR in the 30s, and SpO2 in the low 90s. Breath sounds demonstrate crackles in both lung fields. Initial treatment involves oxygen, cardiac and SpO2 monitoring and placement of an IV. Measures to decrease the patient's anxiety should also be implemented.