Neonatal Pneumonia

Admission Orders

Provide Name, Age, Wt(kg), Allergies

1. Admit to the Pediatric Unit
2. Condition: stable or critical
3. Diagnosis: Pneumonia
4. Vitals continuous x 24hr, then if stable q4h. Monitor closely for respiratory distress
5. Allergies: (List all)
6. Nursing O2 to maintain sat>92%. Adjust flow based on continuous monitoring
7. Diet Breastfeeding or age-appropriate formula feeding as tolerated. NGT feeding if oral intake is insufficient
8. IVF maintenance rate for age and weight, unless contra. Monitor I/O carefully
9. Studies:
   • Chest X-ray (PA, LAT) now
10. Medication
    • Antibiotic IV: i.e. Amoxicillin IV, wt-based dosing for a duration determined by clinical response/guidelines
    • Fever/Pain Acetaminophen q6h prn
    • Bronchodilators for history of wheeze, or asthma
    • Nebulizer med treatments
11. Activity
12. Labs
    • CBC, CRP, BC x2, consider sputum sample for gram stain, culture and sensitivity
    • Viral panel for RSV and influenza

1. Special
   • Droplet precautions until infection cause identified or excluded
   • Physiotherapy
   • Consult respiratory therapy
   • Patient education
   • DC planning
   • F/U at pediatric clinic within 48-72hr of discharge

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