CTSS  is too high as 16 so you should admit him at nearest hospital for injectable and oxygen support and regular monitoring of oxygen level by pulse oxymeter.. Treatment should be as following Oxygen inhalation 6-8 @lit/min by high flow mask to keep spo2 more then 91 % Inj tazomac 4.5 gm iv tds in 100 cc NS Ini Amikacin 500mg iv bd Inj ivepred 16 mg iv bd Ini RL500Cc iv bd Nebulization with asthalin and budamate 6 hrly Tab Cimune 1Tablet bd Tab telekast L 1tablet hs Tab ivermectol 12 od Syp rapitus ls 10ml tds Tab calpol 500 TDs Inj enoxaparin od