Unlikely to be a concern unless the patient develops reduced conscious level (a late sign of serious organ failure).

• Raised respiratory rate.

• Shortness of breath, use of accessory muscles.

• Chest expansion may be asymmetrical, reduced expansion on side of pneumonia due to consolidation/ atelectasis.

• Low oxygen saturations.

• Productive cough, purulent secretions (green, yellow, brown).

• Crackles or reduced air entry on auscultation.

• Tachycardia.

• Hypotensive.

• May feel warm and dilated.

• Reduced urine output.

• Confusion, agitation due to hypoxia or sepsis.

• Pleuritic chest pain from coughing.

Fevers