CAP on DM Type 2

A 52-year-old male patient came with complaints of cough with phlegm since 1 week ago, the patient also had a fever, the fever fluctuated since 3 days. During the last three days the patient also experienced moderate intensity shortness of breath. Shortness of breath accompanied by weakness, no appetite and stomach pain. medication history: amlodipine, metformin, and glimepiride. 

Physical examination: Level of consciousness: E4M6V5, CM
BP: 170/ 90 mmHg, N: 115 x/m, RR: 28 x/m, S: 36.8 C, SpO2: 71% on RA, O2 15 lpm via NRM, SpO2 to 98%. Physical examination: chest: bilateral wheexing, sonor, symmetrical tactile fremitus. abdomen: epigastric tenderness, positive bowel noise.GDS: 345 mg/dl 

Diagnosis: CAP+ Hypertension + Hyperglycemia Type 2 DM.

Management: o2 supplementation 15 lpm via NRM, levoflioxacin 750 mg IV OD, insulin rapid 3x15 units, ventolin nebulizer TDS, Methylprednisoloine 62.5 mg TID, ambroxol 30 mg TID, blood culture test, admitted in ICU

in 3 days patient became stable and step down to regular inpatient care. discharge after 7 days antibiotic therapy.