IV antibiotics are not an indication for positive “bilateral interstitial opacities” on chest imaging and increasing O2 requirements. Not every hypoxic respiratory failure are PNA 😭🤦🏻♂️
Please differentiate your CHF exacerbations from PNA. Do your physical exam properly folks and use procal in appropriate scenarios where you can.
Give trial of IV diuresis at x 2 the home
dose, rx the underlying cause (ischemia worsening, aspiration etc) and repeat imaging for seeing resolution.
Use antibiotics judiciously on floors 🙏