A 60-year-old man with known COPD and chronic heart failure is admitted with worsening dyspnoea. His NEWS2 score increases from 3 to 7 over 2 hours wi...

Question

A 60-year-old man with known COPD and chronic heart failure is admitted with worsening dyspnoea. His NEWS2 score increases from 3 to 7 over 2 hours with rising respiratory rate and falling blood pressure. What is the most appropriate immediate action?

Accepted Answer

Escalate urgently to the senior team/critical care outreach using NEWS2-triggered response

Answer

Continue current management and recheck observations in 4 hours

Answer

Wait for morning ward round to review

Answer

Increase oral diuretics only

Answer

Discharge home because COPD is chronic

uk-plab-1 MCQ (SBA): The deteriorating patient – NEWS2 escalation

A 60-year-old man with known COPD and chronic heart failure is admitted with worsening dyspnoea. His NEWS2 score increases from 3 to 7 over 2 hours with rising respiratory rate and falling blood pressure. What is the most appropriate immediate action?