The Clinically Non-Responding Patient

has a history of heart failure and is admitted for respiratory distress. He is diagnosed with pneumonia

After 2 days, his oxygen requirements are but he is afebrile. Which is the MOST APPROPRIATE next action?

How did others respond?

Reveal the answer

Best Answer:

Evaluate fluid status

Explanation: 👴🏼 has a known history of🫀failure. It is possible his oxygen requirements are ⬆️ because the initial diagnosis was wrong and his pulmonary edema needs to be addressed!

Before escalating antibiotics, ask these questions:
-Is the diagnosis right?
-Is source control needed?
-Were initial antibiotics right?