Correct!
5. All of the above
All of the above are appropriate measures and were undertaken.
On post-operative day 5 (Figure 8), renal ultrasound showed no hydronephrosis and chest ultrasound showed no right pleural effusion and only trace left pleural effusion.
Figure 8. Frontal chest radiography postoperative day 5 following left upper lobe resection shows continued worsening of left lung consolidation and interlobular septal thickening.
The patient’s white blood cell count began trending down on broad spectrum antibiotic therapy. Vascular support provided by vasopressin and Dobutamine, with the intention to wean Dobutamine, although attempts to decrease blood pressure support were not tolerated. The patient complained of left-sided chest pain, thought to be the result of presumed left lower lobe pneumonia. Pain management was optimized. Physical examination showed wheezing and the patient complained of sputum production.
Which of the following represents an appropriate next step(s) for the patient’s management? (Click on the correct answer to be directed to the eleventh of fourteen pages)