Peter Smith, a 55-year-old male, is admitted to the intensive

Peter Smith, a 55-year-old male, is admitted to the intensive care unit (ICU) with a diagnosis of Acute Respiratory Distress Syndrome (ARDS). He was initially admitted to the hospital three days ago with complaints of severe shortness of breath, cough, and fever. He has a history of hypertension and type 2 diabetes mellitus. Peter is a non- smoker and works as an office manager. Upon admission to the ICU, Peter presented with the following symptoms: Severe dyspnea . Rapid, shallow breathing Hypoxemia . Bilateral crackles on lung auscultation . Respiratory distress with increased work of breathing His initial vitals: BP 142/98 Heart Rate 110 RR 36 Temperature 39.2 C (102.5F) 02 86% on RA Diagnostics: ABG o PH: 7.48 o pa02: 58 O PaC02: 28 o HC03: 22 O Sa02: 86 CBC O WBC 15,000 o Hgb: 12 o Hematocrit 36% Platelet count: 250,000

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