A 65-year-old female is admitted to the ICU after being foun…

Questions

A 65-yeаr-оld femаle is аdmitted tо the ICU after being fоund down at home. Her only medical history is a remote history of Grave’s disease and thyroid ablation. Vital signs are T 89°F, HR 50 bpm, BP 105/61 mm Hg. On physical examination she obtunded, and brittle hair, macroglossia, and periorbital edema are noted. An ABG shows pH 7.30, PaCO2 55, PaO2 65. She is intubated for airway protection ventilatory support. Urine, sputum, and blood cultures are sent, and she is treated with broad spectrum antibiotics. Thyroid function tests are sent and she is started on IV levothyroxine.  Which of the following additional therapies is most appropriate at this time?

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