Patient Care and Monitoring

Monitoring response to AeraPy „ esse,«M for delern,n„ng efficacy, ,de,„,fymg adverse reactions, and determining the duration of therapy.

1. Assess the patient's symptoms and status (i.e., inpatient, outpatient, or intubated) to determine the type of pneumonia and comorbid conditions. Does the patient have moderate to severe asthma, COPD, or emphysema or is a current smoker?

2. Review any available diagnostic data to determine severity of the disease.

3. Obtain a history of prescription and nonprescription medication use, as well as allergies and drug intolerances, noting the severity of the reaction.

4. What are the top two to three organisms associated with the type of pneumonia the patient has?

5. Select an appropriate empirical antibiotic regimen for the patient, ensuring that the doses are correct for renal function.

6. Develop a plan to assess the effectiveness of the antibiotic therapy after 24 to 72 hours. If the patient is not improving, then reevaluate the diagnosis and pathogen list, and make appropriate changes to therapy. Develop a plan to assess the effectiveness of the antibiotic therapy again at the end of therapy. When can conversion from IV to oral therapy occur?

7. Evaluate the patient for the presence of adverse drug reactions, drug allergies, and drug interactions.

8. For patients who meet the qualifications, discuss the value of vaccination against S. pneumoniae and/or influenza.

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