Question

A 74 year old man presents with cough, fever and pleuritic chest pain. He is confused, his blood urea is 9 mmol per litre, respiratory rate is 32 per minute and blood pressure is 88 over 54 mmHg. According to CURB 65 his score is 4. What is the most appropriate setting of care?

Accepted Answer

Urgent admission to hospital with consideration of intensive care

Answer

Home based oral antibiotic treatment and review

Answer

Admission to a general ward only

Answer

Outpatient review in 48 hours with oral antibiotics

Answer

Treatment in an ambulatory care unit only

Practice question

A 74 year old man presents with cough, fever and pleuritic chest pain. He is confused, his blood urea is 9 mmol per litre, respiratory rate is 32 per minute and blood pressure is 88 over 54 mmHg. According to CURB 65 his score is 4. What is the most appropriate setting of care?