Pediatric Pneumonia

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Pneumonia in a 6-yr with fever and SOB:

o2
pulse ox
iv acess
iv fluids

Work flow:
History and PE
Lab:
CBC with differential
UA
Sputum gram staining
Sputum culture
AST/ALT
ABG
Images: CXR
Management:


Admit to ward if kid looks toxic
Pulse oximetry
Oxygen inhalation if SOB is moderate to severe
Penicillin IV
Erythromycin IV
Acetaminophen
Check patient every day
Repeat CBC every 48 hr
D/S erythromycin IV when afebrile for 24 hr
D/C patient on erythromycin
Follow up patient in 1 week with CBC and CXR
Educate patient and parent: nutritious food, hand wash, update vaccination, home safety