PNA RECOMMENDATIONS

THERAPY RECOMMENDATIONS FOR PNEUMONIA

BRONCHIAL HYGIENE IF INDICATED

LUNG EXPANSION THERAPY

DEEP BREATH AND COUGH

IS X 10 HR

MEDS FOR PNEUMONIA /HIST.

START WITH BROAD SPECTRUM ABX

ACUTE

SABA PRN - 2.5 MG ALBUTEROL/NORMAL SALINE SOL. IF INDICATED FOR WHEEZE

ASSESS FOR ICS (BECLAMETHASONE/QVAR) (FLUTICASONE/FLOVENT)

O2 THERAPY - TITRATE FOR SPO2 GOAL OF 95% OR GREATER

TEST FOR PNEUMONIA/HISTOPLASMOSIS

PFT DIAGNOSTIC (IF INDICATED DUE TO SEVERITY)

ABG ACUTE AND BASELINE

CXR ACUTE AND BASELINE

SPUTUM CULTURE AND SENSITIVITY TEST

FUNGAL STAIN

FUNGAL CULTURE OF BLOOD

SPINAL FLUID SCREENING

SEROLOGY TEST FOR ANTIBODIES

TISSUE EXUDATES

THORACENTESIS (DIAGNOSTIC AND THERAPEUTIC)

NUTRITION FOR PNA AND HIST

HYDRATION

NUTRITION CONSULT

PHYSICAL EXERCISE FOR PNA/HIST

PT CONSULT

ADL - PT FROM BED TO CHAIR AND BACK

EDUCATION FOR PNA/HIST

EDUCATE ON MEDS (TYPE, WHEN, AND WHY)

SPUTUM COLOR CHANGES

EDUCATE ON MEDICATIONON ABX/ ANTIVIRAL/ANTIFUNGAL AND FINISHING FULL COARSE OF MEDS

TREAT COMORBIDITIES

EDUCATE ON SUSPECTED RESTRICTIVE DISORDER

DEEP BREATH AND COUGH

IS X10/HR

INFLUENZA VACCINE

PNEUMOCOCAL VACCINE