Question

A 72-year-old woman presents with cough, fever and pleuritic chest pain. On examination, temperature is 38.5°C, respiratory rate 34 breaths/min, blood pressure 92/58 mmHg and she is confused. Oxygen saturation is 89% on air. What is the most appropriate level of care and initial management plan?

Accepted Answer

Admit urgently for IV antibiotics and consider high-dependency care

Answer

Treat at home with oral antibiotics and review in 48 hours

Answer

Admit to general ward for oral antibiotics

Answer

No antibiotics, as this is likely viral bronchitis

Answer

Discharge with inhaled bronchodilators only

Practice question

A 72-year-old woman presents with cough, fever and pleuritic chest pain. On examination, temperature is 38.5°C, respiratory rate 34 breaths/min, blood pressure 92/58 mmHg and she is confused. Oxygen saturation is 89% on air. What is the most appropriate level of care and initial management plan?