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    CPG - Pneumonia (Jabonga Municipal Hospital)

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    Hedy Suico Galela - Racines
    The document provides clinical practice guidelines for community acquired pneumonia of moderate risk at the ER level and ward level of Jabonga Municipal Hospital. It outlines assessments, diagnostics, interventions, medications, teachings and discharge planning for patients with moderate risk CAP.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    CPG - Pneumonia (Jabonga Municipal Hospital)

    Uploaded by

    Hedy Suico Galela - Racines
    140 views4 pages
    The document provides clinical practice guidelines for community acquired pneumonia of moderate risk at the ER level and ward level of Jabonga Municipal Hospital. It outlines assessments, diagnostics, interventions, medications, teachings and discharge planning for patients with moderate risk CAP.

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    clinical pathway guidelines for pneumonia at Jabonga Municipal Hospital

    Original Title

    Cpg - Pneumonia (Jabonga Municipal Hospital)

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    The document provides clinical practice guidelines for community acquired pneumonia of moderate risk at the ER level and ward level of Jabonga Municipal Hospital. It outlines assessments, diagnostics, interventions, medications, teachings and discharge planning for patients with moderate risk CAP.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    140 views4 pages

    CPG - Pneumonia (Jabonga Municipal Hospital)

    Uploaded by

    Hedy Suico Galela - Racines
    The document provides clinical practice guidelines for community acquired pneumonia of moderate risk at the ER level and ward level of Jabonga Municipal Hospital. It outlines assessments, diagnostics, interventions, medications, teachings and discharge planning for patients with moderate risk CAP.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    Republic of the Philippines

    Province of Agusan del Norte

    JABONGA MUNICIPAL HOSPITAL


    Purok 1, Mayugda, Poblacion, Jabonga, Agusan del Norte 8607

    CLINICAL PRACTICE GUIDELINES:


    COMMUNITY ACQUIRED PNEUMONIA Moderate Risk
    (2016 Revision)
    ER LEVEL

    Initial
    Assessme
    nt

    Consult

    1. History:
    Pediatric or adult
    age group
    Intermittent
    fever
    Productive /
    nonproductive
    cough
    Acute or chronic
    cough
    Generalized body
    malaise
    Appetite changes
    Chest tightness /
    chest pain
    Dehydration
    Comorbid
    conditions
    2. Physical examination
    Vital signs
    Presence of
    abnormal breath
    sounds
    1. Refer to physician-onduty
    2. Risk stratification by
    physician-on-duty
    (based on CAP
    Guidelines 2016
    Update)
    Low-risk CAP
    manage as OPD
    Moderate-risk
    CAP for
    admission
    High-risk CAP

    WARD LEVEL
    Physical assessment upon
    receiving patient at the
    ward:
    Vital signs to include
    O2 saturation
    Symptoms improved
    compared to arrival at ER:
    Y _____ N _____
    Is patient stable:
    Y _____ N _____

    Refer to physician-on-duty
    for new or persisting
    complaints

    Republic of the Philippines


    Province of Agusan del Norte

    JABONGA MUNICIPAL HOSPITAL


    Purok 1, Mayugda, Poblacion, Jabonga, Agusan del Norte 8607
    for referral to
    higher
    institutions

    Diagnosti
    cs
    Interventi
    ons

    IVF /
    Medicatio
    ns

    Health
    teachings

    CBC
    Chest xray (PA / AP /
    Lateral)
    Moderate-high back
    rest as needed
    Place on NPO if visibly
    dyspneic
    O2 inhalation for
    patients with O2
    saturation < 95%
    Nebulization with
    bronchodilator as per
    order
    Start IVF as ordered
    Start IV antibiotics as
    per CAP Guidelines
    2016 / PCAP CPG 2012
    and note time of
    administration
    Diet as ordered

    Inform patient/
    significant others of
    treatment plan and

    Possible gram staining


    if still with no
    improvement after 72
    hours
    Safety measures as
    per standard

    Continuation of
    antibiotic therapy
    Step-up antibiotics if
    there is no
    improvement in vital
    signs after 72 hours,
    and patient should be
    reassessed for
    possible resistance to
    the antibiotics or the
    presence of other
    pathogens such as M.
    tuberculosis, viruses,
    parasites or fungi
    Maintain O2 inhalation
    for patients with O2
    saturation < 95%
    Nebulization with
    bronchodilator as per
    order
    Patients started on
    parenteral antibiotics
    can be switched to
    oral therapy once
    the patient is
    clinically improving,
    hemodynamically
    stable, and has a
    functioning GI tract.

    Republic of the Philippines


    Province of Agusan del Norte

    JABONGA MUNICIPAL HOSPITAL


    Purok 1, Mayugda, Poblacion, Jabonga, Agusan del Norte 8607

    Discharge
    Planning
    and
    Follow-up

    Outcomes

    Home
    Care
    Teaching

    Authored by:

    interventions
    Provide psychological
    support
    One adult watcher for
    the patient at ALL
    times
    Disposition:
    Admitted to Room _____
    Treated and Referred
    Y _____ N _____
    DOA / ER death
    Y _____ N _____
    Clinically stable
    Y _____ N _____
    HR ______
    RR ______
    BP _______
    Temp _____
    O2 sat _____
    Received 1st dose of
    antibiotic at ER
    Y _____ N _____
    Monitored intake and output
    Y _____ N _____

    Disposition:
    Admitted to Room _____
    Treated and Referred
    Y _____ N _____
    DOA / ER death
    Y _____ N _____
    Clinically stable
    Y _____ N _____
    HR ______
    RR ______
    BP _______
    Temp _____
    O2 sat _____
    Received 1st dose of
    antibiotic at ER
    Y _____ N _____
    Monitored intake and output
    Y _____ N _____
    Follow prescribed
    medications and
    complete medication
    regimen
    Limit activity, advise
    adequate rest
    Increase oral fluid
    intake
    Follow-up at OPD after
    one week or earlier for
    any recurrence of
    symptoms

    Republic of the Philippines


    Province of Agusan del Norte

    JABONGA MUNICIPAL HOSPITAL


    Purok 1, Mayugda, Poblacion, Jabonga, Agusan del Norte 8607

    HEDY SUICO GALELA, MD


    Medical Officer IV OIC/COH
    Copyright 2016

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