Out patient management of pneumonias

Explanation

Not all patients with pneumonias have to be admitted.

The following should be however considered for admission:

1. HIV positive.
2. Dyspneic
3. Elderly
4. Poorly compliant.
5. Those who have other reasons for admission e.g. Dehydration, vomiting etc.
6. those with a poor cardio respiratory reserve.

ICU admission is needed for those who are Tachypneic (>30/min) or HR > 120 or hypercapneic >45 or those with acidosis pH</= 7.3.