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Algorithm: Philippine Community-Acquired Pneumonia (CAP) Guidelines 2004

     CAP
       ↓
Any of the following:               Any of the following:
RR > or = 30/min               1. Shock or signs of
PR > or = 125/min                     hypoperfusion.
T > or = 40 or < or = 35oC            Hypotension
Suspected aspiration                 Altered Mental state,
Extrapulmonary evidence        Yes Urine Output <30ml/hr     Yes High Risk
of sepsis                      → 2. PaO2 <60mmHg or        → CAP
Unstable comorbid conditions          acute hypercapnea               ↓
CXR: multilobar, pleural              (PaCO2 >50mmHg)            Intensive Care
effusion, abscess, progression        at room air
of lesion to 75% in 24 hours.                ↓
          ↓                         Moderate Risk CAP
   Low Risk CAP                         ↓
          ↓                             In-Patient
     Out-Patient

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Algorithm Philippine Cap Guidelines 2004

  • 1. Algorithm: Philippine Community-Acquired Pneumonia (CAP) Guidelines 2004 CAP ↓ Any of the following: Any of the following: RR > or = 30/min 1. Shock or signs of PR > or = 125/min hypoperfusion. T > or = 40 or < or = 35oC Hypotension Suspected aspiration Altered Mental state, Extrapulmonary evidence Yes Urine Output <30ml/hr Yes High Risk of sepsis → 2. PaO2 <60mmHg or → CAP Unstable comorbid conditions acute hypercapnea ↓ CXR: multilobar, pleural (PaCO2 >50mmHg) Intensive Care effusion, abscess, progression at room air of lesion to 75% in 24 hours. ↓ ↓ Moderate Risk CAP Low Risk CAP ↓ ↓ In-Patient Out-Patient