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Community Acquired Pneumonia (Adult)
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Use severity of illness scores combined with clinical judgment to determine if patient can be safely managed as outpatient or should be managed as inpatient. 2019 guidelines recommend Pneumonia Severity Index preferentially over CURB-65 criteria r7
For COVID-19 pneumonia
Consider inpatient admission for patients otherwise meeting criteria for outpatient treatment but who are unable to safely and reliably take medication orally or who have insufficient personal support r27
Determine the optimal care setting using severity of illness scores and clinical judgment r7
For COVID-19 pneumonia d8
For non–COVID-19 pneumonias: begin empiric therapy based on treatment setting; in patients admitted to the hospital, give first antimicrobial dose before patient leaves emergency department
General considerations
Supplemental oxygen or mechanical ventilation r49
Respiratory therapy c177
Breathing exercises c180
Venous thromboembolism prophylaxis r43c181
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