A 72-year-old woman is admitted with fever, productive cough and confusion. Her observations give a NEWS2 score of 8. Blood cultures have been taken. ...

Question

A 72-year-old woman is admitted with fever, productive cough and confusion. Her observations give a NEWS2 score of 8. Blood cultures have been taken. Which is the most appropriate immediate management step?

Accepted Answer

Escalate urgently for senior/critical care review and commence the Sepsis Six bundle

Answer

Continue current observations every 4 hours and start oral Amoxicillin

Answer

Request a routine medical review and await chest X-ray results

Answer

Give 500 mL IV crystalloid over 6 hours without further action

Answer

Wait for venous lactate results before deciding on treatment

uk-plab-1 MCQ (SBA): Sepsis and the deteriorating patient

A 72-year-old woman is admitted with fever, productive cough and confusion. Her observations give a NEWS2 score of 8. Blood cultures have been taken. Which is the most appropriate immediate management step?