The following criterion is considered a positive finding when determining whether a patient with asthma can be safely monitored and treated at home:
A. Age over 40
B. Fever greater than 101
C. Tachypnea greater than 30 breaths/minute
D. Productive cough
ANS: C
Decision Rule: CURB-65 provides framework for determining whether the patient diagnosed with community-acquired pneumonia can be safely monitored and treated at home. One point is awarded for each of the following factors present:
• Confusion of new onset
• BUN greater than 20mg/dL
• Respiratory rate of ? 30 breaths/minute
• Blood pressure is less than 90 mmHg systolic or diastolic ? 60 mm Hg
• Age 65 or older
Patients scoring 3 to 5 typically require hospitalization for observation and therapy. Scores of 0 to 1 indicate likelihood that outpatient management is appropriate. A score of 2 is inconclusive.
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