question: Q:A 45-year-old man is brought to the emergency department following a house fire. Following initial stabilization, the patient is transferred to the ICU for management of his third-degree burn injuries. On the second day of hospitalization, a routine laboratory panel is obtained, and the results are demonstrated below. Per the nurse, he remains stable compared to the day prior. His temperature is 99°F (37°C), blood pressure is 92/64 mmHg, pulse is 98/min, respirations are 14/min, and SpO2 is 98%. A physical examination demonstrates an unresponsive patient with extensive burn injuries throughout his torso and lower extremities.
  
  Hemoglobin: 13 g/dL
  Hematocrit: 36%
  Leukocyte count: 10,670/mm^3 with normal differential
  Platelet count: 180,000/mm^3
  
  Serum:
  Na+: 135 mEq/L
  Cl-: 98 mEq/L
  K+: 4.7 mEq/L
  HCO3-: 25 mEq/L 
  BUN: 10 mg/dL 
  Glucose: 123 mg/dL
  Creatinine: 1.8 mg/dL
  Thyroid-stimulating hormone: 4.3 µU/mL
  Triiodothyronine: 48 ng/dL
  Thyroxine: 10 ug/dL
  Ca2+:  8.7 mg/dL
  AST: 89 U/L
  ALT: 135 U/L
  
  What is the best course of management for this patient?? 
  {'A': 'Continued management of his burn wounds', 'B': 'Immediate administration of propanolol', 'C': 'Increase opioid dosage', 'D': 'Regular levothyroxine sodium injections', 'E': 'Start patient on intravenous ceftriaxone and vancomycin'},