Need health and medical help with the data below and provide 3 evidence between 20101-2015

Krista E. is a 41-year-old female seen in the office with fever, shaking, chills, coughing, increasing SOB, and increasing fatigue. Symptoms began 24 hours ago. The region in which you are practicing is experiencing peak flu season. This patient did not receive influenza vaccination.

PMI: Patient has no significant medical history.

Medications: MVI QD

Allergies: NKA

SH: Occasional EtOH, 2 pack-per-day cigarette smoker

Physical Examination:

VS: HR 96, RR 22, BP 145/76, T 103.5, WT 60.2 kg, HT 5’5”

CHEST: Bilat rales

COR: Tachycardic

NEURO: lethargic

EXT: normal

CXR: normal

Labs:

Na 133

K 3.4

Hct 39

CL 99

CO2 21

Hgb 10

BUN 10

SCr 0.9

WBC 9.0

QUESTION

1) What is your presumptive diagnosis?

2) What therapeutic options exist?

3) What medications and doses are appropriate for this patient?

 

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