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WBC and temperature indicates that the treatment is not optimized and patient is not yet ready toswitch 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 oralintake is tolerated. Metoclopramide was not chosen, although it is an antiemetic, due to its effectof 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 NeedsCOPD 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