RepertoireClinical template workspaceFree Self-Assessment
ChroniccoughInfluenzaViral URICommunityacquiredpneumonia

Respiratory

Community acquired pneumonia

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Chronic coughInfluenzaViral URI

Template

Community acquired pneumonia

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Diagnosis based onChoose any

Work of breathing presentChoose any

Work of breathing absentChoose any

Oxygen saturationChoose one

Chest x-rayChoose one

TestingChoose any

AntibioticChoose one

DispositionChoose one

PreventionChoose any

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling

Fever and breathing should start to improve within a few days of starting the antibiotic, though cough can last a few weeks.

Supportive careChoose anyParagraph

Counseling

Return precautions given including fast or labored breathing, color change, chest pain, not drinking well, fever that is not improving, new symptoms, prolonged symptoms, worsening symptoms, and other concerns. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

  • Work of breathing findings
  • Hypoxemia (< 90%: hospitalize)
  • No routine CXR for outpatients; CXR with hypoxemia/distress/failure
  • Viral, influenza and Mycoplasma testing
  • Amoxicillin first line
  • Macrolide for atypical (school-aged)
  • No antibiotics for likely viral CAP in preschoolers
  • Augmentin, Cefdinir, Clindamycin, Ceftriaxone
  • Hospitalization criteria
  • Improvement expected in 48-72 h; recheck
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  • Vaccines (PCV, influenza)

Used to decide, kept out of the note

  • No routine blood culture, CBC, CRP in outpatients

Return precautions in the template

fast or labored breathingcolor changechest painnot drinking wellfever that is not improving

Sources