A 67-year-old man presents with fever, hypotension (BP 85/50 mmHg), respiratory rate 28/min, heart rate 120/min and oxygen saturation 93% on air. He h...

Question

A 67-year-old man presents with fever, hypotension (BP 85/50 mmHg), respiratory rate 28/min, heart rate 120/min and oxygen saturation 93% on air. He has suspected pneumonia and a NEWS2 score of 9. What is the most appropriate immediate management strategy within the first hour?

Accepted Answer

Administer the Sepsis Six bundle including IV antibiotics and fluids

Answer

Start oral antibiotics and review in 4 hours

Answer

Arrange routine blood tests and chest X-ray then review

Answer

Give paracetamol and observe

Answer

Delay antibiotics until microbiology advice is available

uk-plab-1 MCQ (SBA): Sepsis and Sepsis Six

A 67-year-old man presents with fever, hypotension (BP 85/50 mmHg), respiratory rate 28/min, heart rate 120/min and oxygen saturation 93% on air. He has suspected pneumonia and a NEWS2 score of 9. What is the most appropriate immediate management strategy within the first hour?