Clinical Presentation & Protocol
Patient Usually Complains Of
Patient presents with acute onset of high-grade fever, non-productive cough, and progressive dyspnea following a prodrome of influenza-like illness. Symptoms characterized by rapid clinical deterioration, pleuritic chest pain, and significant hypoxemia. No evidence of secondary bacterial superinfection at this time.
Clinical Examination Findings
General: Ill-appearing, tachypneic, accessory muscle use noted. HEENT: Oropharyngeal erythema, no exudates. Respiratory: Bilateral diffuse crackles/rales, decreased breath sounds at bases, no wheezing. Cardiovascular: Tachycardic, regular rhythm, no murmurs. Skin: Warm, dry, no rashes.
Treatment Protocol
Initiate antiviral therapy (Oseltamivir 75mg BID). Supplemental oxygen to maintain SpO2 >92%. Supportive care including antipyretics, aggressive hydration, and pulmonary hygiene. Monitor for signs of secondary bacterial pneumonia. Daily chest X-ray and serial ABG monitoring as indicated.