Which is the next step in management

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Problem

A 35-year-old male with sickle cell disease presents to the hospital with lower back pain, chest pain, and shortness of breath for the past 2 days. He denies fevers but reports a dry cough. On arrival, he is atebrile and normotensive with an oxygen saturation of 88%. An exam is notable for decreased breath sounds and tenderness on the patient's back, but he is otherwise conversant and cooperative with no increased work of breathing. A chest X-ray shows bilateral diffuse infiltrates, and an electrocardiogram shows sinus tachycardia. His hemoglobin is 7 g/dL from a baseline of 9 g/dL. Troponin is negative, reticulocytes are 11%, and lactate dehydrogenase is 400 U/L. He begins intravenous fluids and supplemental oxygen. His oxygen rises to 96%. Which is the next step in management?

Reference no: EM133757121

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