Given the vital signs provided:
1 Blood Pressure: 192/114 mmHg (MAP 140)
2 Pulse: 110 bpm (Sinus tachycardia)
3 SpO2: 70% on 2LPM oxygen via nasal cannula
4 Respiratory Rate: 28 breaths per minute
5 Lung sounds: Coarse rales
Based on these findings, the patient is experiencing severe hypertension with signs of respiratory distress. A pharmacological intervention that may be indicated is: