CV: RRR, normal Si, S2; no murmurs, rubs, or gallops

Abd: Soft, nontender, nondistended; (+) bowel sounds, no hepatosplenomegaly, incision looks good and is healing

Diagnostic Tests: Chest x-ray: left middle and lower lobe infiltrates; oxygen saturation 98% on ventilator

Labs: WBCs 18.2 x 103/mm3 (18.2 x 109/L) with a cell differential of 72% neutrophils, 8% bands, 16% lymphocytes, and 4% monocytes; BUN 10 mg/dL (3.57 mmol/ L), SCr 0.9 mg/dL (80 ^mol/L); sputum gram stain: many gram-negative bacilli, many WBCs; sputum culture is pending

Given this additional information, what is your assessment of the patient's condition? Identify your treatment goals for the patient.

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