A 5-year old presents to the ED three weeks following primary closure of an atrial septal defect. She is ill appearing with fever

A 5-year old presents to the ED three weeks following primary closure of an atrial septal defect. She is ill appearing with fever, tachycardia, dyspnea. HR 132, BP 75/48, RR 36, SpO2 91% RA. Which of the following is the BEST diagnostic and therapeutic management plan for this presentation? A 5-year old presents to the ED three weeks following primary closure of an atrial septal defect. She is ill appearing with fever, tachycardia, dyspnea. HR 132, BP 75/48, RR 36, SpO2 91% RA. Which of the following is the BEST diagnostic and therapeutic management plan for this presentation? Order a STAT AP Chest radiograph and prepare for chest-tube insertion Order a STAT Echocardiograph and prepare for pericardiocentesis Draw CBC with differential, blood cultures and start broad-spectrum antibiotics Draw a VBG & lactate, start peripheral inotropes and prepare for central venous line placement

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