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학습 자료 둘러보기 →A clinical response to antibiotics in community-acquired pneumonia (CAP) is typically expected within 48 to 72 hours. For older adults, a lack of improvement or development of new symptoms after 48 hours is a critical red flag signaling potential treatment failure.
The nurse's priority is immediate escalation. This involves notifying the healthcare provider to report the ineffective response and preparing for a diagnostic re-evaluation. The underlying cause could be an antibiotic-resistant organism, a complication like empyema, or a non-infectious mimic.
Do not delay escalation by focusing solely on supportive measures like chest physiotherapy or bronchodilators. These interventions manage symptoms but do not replace the need for urgent reassessment of the antimicrobial regimen and diagnostic workup.
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