Q. A 58-year-old male presents to the ER with compliant of dyspnea that started 5 days ago. He reports that it wakes him up and night and prevents him from falling back asleep. This is the first time the patient has experienced such symptoms. His past medical includes hypertension, which has not been controlled due to noncompliance. The patient was treated with anticoagulants for 6 months 6 years ago for a DVT that developed after surgery following a motor vehicle accident. The patient has been using tobacco since the his early 20s as well but denies the use of alcohol. Upon examination, the patient’s blood pressure is 180/110 mmHg, pulse is 112, and SaO2= 90% on room air. Pulmonary auscultation reveals audible crackles in both lung bases in addition to scattered wheezing. What would be the next step in managing this patient?

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