A 15 yr old girl presented to the ED with several days of fa…

A 15 yr old girl presented to the ED with several days of fatigue, nausea and shortness of breath. Chest X-ray demonstrated cardiomegaly and Echocardiogram demonstrated depressed cardiac function. She is admitted to the ICU, what is the best initial medication to start  for her  heart failure therapy? 

You are taking care of a 5 yr old with known asthma admitted…

You are taking care of a 5 yr old with known asthma admitted to the PICU for acute exacerbation. She is NPO with IVF on continuous albuterol, IV Methylprednisone and 24 hrs of atrovent. She continues to have wheezing and respiratory distress with intercostal retractions. What is the next Best treatment strategy?