Wbc and temperature indicates that the treatment is

WBC and temperature indicates that the treatment is not optimized and patient is not yet ready to
switch to an oral medication. The current regimen of ceftriaxone and azithromycin should be
continued for at least 5 days, at which time the response to the treatment can be reevaluated
(Donovan, 2019). Pantoprazole 40 mg IV daily should be added to protect the stomach until oral
intake is tolerated. Metoclopramide was not chosen, although it is an antiemetic, due to its effect
of also increasing gastric emptying which is not a desired effect in this case, and it can cause
drowsiness. Home medications should be reconciled and checked for contraindications with
current therapy so they can be continued while inpatient.

Health Needs
COPD is a common comorbidity in pneumonia patients. COPD may increase their risk
of developing pneumonia due to excessive mucous production and the inherent inflammatory
response in chronic exacerbations (Restrepo, Sibila, & Anzueto, 2018). The patient should be