A nursing home patient was diagnosed with aspiration pneumonia

A nursing home patient was diagnosed with aspiration pneumonia. Could you have performed a bedside evaluation on this patient or were not able to clear their sections? Would you think about giving the patient a dose of vancomycin? The patient’s Creatinine was elevated, but what is her baseline? Is there some AKI going on? Yes, a patient has AKI. If that is the case then Vancomycin would be contraindicated due to how hard it can be on kidneys