Daniel Y. is a 29 year old male patient with Cystic Fibrosis…

Daniel Y. is a 29 year old male patient with Cystic Fibrosis and Pneumonia.  He is currently on a 4L NC.  His assessment is as followed: HR 120 RR 26 Sa02 94% Temp: 101.8F BBS: Bilateral wheezes and coarse rhonchi to BUL and decreased with crackles to the LLL   Which of the following is the most appropriate treatment regimen?