Correct!
5. All of the above

The patient's SpO2 is low on 100% oxygen and considerable positive end expiratory pressure (PEEP). Arterial blood gases are indicated to assess her oxygen status as we all as her acid-base status. Based on her history she likely has urosepsis and blood and urine cultures are indicated. As we enter influenza season it is important that influenza be considered on cases of diffuse pneumonia and respiratory failure.

The patient's arterial blood gases were pH 7.34, pO2 85, pCO2 35, HCO3- 18. Blood cultures showed no growth but a urine culture showed E. coli which was pan-sensitive to the test antibiotics. Rapid influenza test was positive for influenza B.

Which of the following are indicated next? (Click on the correct answer to proceed to the third of five panels)
  1. Begin oseltamivir (Tamiflu)
  2. Biopsy of the lung with transbronchial biopsy or video-assisted thorascopic biopsy
  3. Lower FiO2
  4. 1 and 3
  5. All of the above

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