Ms. Queen is a 45 year old female patient admitted with fung…
Ms. Queen is a 45 year old female patient admitted with fungal pneumonia. She weighs 65 kg, is otherwise healthy and is alert and oriented, but anxious. Her HR is 124 bpm. CXR reveals “diffuse, bilateral infiltrates without cavitation” unresolved after 4 days of treatment. Her ABGs reveal: pH 7.33, PaCO2 49 mmHg, PaO2 78 mmHg, HCO3 23 mEq/L on 0.35 AEM. Her RR = 32 bpm. She is diaphoretic with accessory muscle use and bilateral inspiratory crackles. Which of the following would you recommend?
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