Some cases will need to be hospitalized: (just think of messed up vital signs, comorbidites, etc.):
-systolic pressure < than 60
-pulse > than 140
-PO2 < than 90% or 60 mmHg
-presence of an abscess or pleural effusion
-metabolic abnormalities
-other diseases also present: CHF, renal failure, malignancy, diabetes mellitus, COPD
-is oder than 65 y.o.
-social situation messed up
If patient does not need to be hospitalized, you can give antibiotics:
Less than 60 y.o. and healthy adult: (young people EAD a lot):
-erythromycin
-azithromycin
-doxycycline
Over 60 y.o.: (old ppl listen to FM radio and are from a 2nd generation):
-fluoroquinolone
-macrolide
-2nd generation cephalosporin
Children (2 months – 5 yrs) (little kids on high doses of sugar like to mock .. amox):
-high dose amoxicillin
Older children: (macro = big = older kids growing up feeling big):
-macrolide