Consider the following, not everything will be appropriate for every patient:

1. Chest x-ray

2. Routine blood tests including inflammatory markers – CRP, Procalcitonin, White cell count

3. Antibiotics – refer to local antimicrobial guidelines

4. Supplemental oxygen to maintain target saturation range:

• Consider humidified oxygen to aide secretion clearance

5. Microbiology: 

• Sputum sample for culture sensitivities.

• Check urine antigens for legionella and S. pneumonia

6. Consider saline nebulisers or mucolytics to loosen secretions

7. Physiotherapy review and incentive spirometry.

8. Encourage mobilisation if safe to do so. If bed bound ensure regular position changes.

9. Ensure adequate analgesia

10. Ensure adequate oral fluid intake, may require supplemental IVF.