WB is a 72 year-old male presenting to the ED with his wife…
Questions
WB is а 72 yeаr-оld mаle presenting tо the ED with his wife fоr increasing shortness of breath. Upon presentation, the patient is found to have low oxygen saturation and is put on supplemental oxygen. WB’s spouse reports an increase in sputum purulence and production. SH: smoker x 42 years. PMH: COPD x 12 years, chronic bronchitis (4 previous exacerbations, most recent 5 months ago, where cultures grew Pseudomonas aeruginosa). ALL: sulfa (rash). PCT: 1.4; Wt: 84kg, WBC 16.9, Scr 1.4. The patient is admitted to the general medicine floor and a diagnosis of acute exacerbation of chronic bronchitis is made. Which of the following is the best recommendation?