
Suggest Treatment For Pneumonia With Sepsis

the patient can receive analgesics
Detailed Answer:
Hello,
I don't understand why a patient in pain has to be deprived of analgesic treatment! Analgesic treatment (paracetamol and non-steroidal anti-inflammatory drugs) may mask the fever but the fever is not the only sign a clinician can use to check a patient's progress (or worsening). Perhaps the doctors have other reasons to avoid such treatment like kidney failure or peptic ulcer (a history of gastrointestinal bleeding for example).
A doctor will check the vital signs and various signs from clinical examination to determine the patient's status. Blood pressure, heart rate, respiratory rate, oxygen saturation, urine production, white blood cells count, C-reactive protein, procalcitonin, etc can be used to help the assessment.
Prn treatment will probably produce similar results like regular treatment.
Kind Regards!


Dear Dr. Zografakis, I forgot to add that the patient is hypotensive.
hydromorphone could get things worse
Detailed Answer:
You're welcome!
I didn't consider opioids as treatment options because they are not the first choice drugs. Opioids could affect the patient's status negatively. The blood pressure would further reduced and the oxygen saturation would rather drop.
The most common first choices are paracetamol and NSAIDs. These drugs would only affect the fever. NSAIDs should be also avoided because of the detrimental effect they may have on the kidney function. Hypotension also causes problems to renal blood flow so they should be avoided. It depends on how 'hypotensive' the patient is. If the patient is on severe sepsis or septic shock then only paracetamol used would be uneventful.
Kind regards!

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