A 32-year-old female presents conscious and alert, sitting at her kitchen table complaining of dizziness and near-syncope with exertion. She describes a 4-day history of fever (104°F orally) nausea , vomiting, and diarrhea unrelieved with over-the-counter medications. Physical examination reveals dry skin and mucus membranes, lung sounds clear and equal bilaterally. HR = 131 and regular, BP = 84/60, RR = 20 and regular, SpO2 = 98%, blood glucose is 48 mg/dL. She states a history of colitis for which she takes prednisone. Further questioning reveals that she has been noncompliant with her prednisone therapy for a week because of financial hardship. The treatment for this patient should include:
A) oxygen via nonrebreather mask 15 lpm, cardiac monitor, IV of NS with fluid resuscitation, 50% dextrose IV.
B) oxygen via nasal cannula at 4 lpm, cardiac monitor, 12-lead ECG, IV of NS with fluid resuscitation, 50% dextrose IV.
C) oxygen via nasal cannula at 4 lpm, cardiac monitor, IV of NS KVO, 50% dextrose IV.
D) endotracheal intubation, cardiac monitor, 12-lead ECG, IV of NS with fluid resuscitation, 50% dextrose IV.
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