A 70-year-old man with COPD presents with severe CAP. He is confused, urea 12 mmol/L, RR 34, BP 80/50, SpO₂ 86% on 2L O₂. CURB-65 is 5. He requires

Question

A 70-year-old man with COPD presents with severe CAP. He is confused, urea 12 mmol/L, RR 34, BP 80/50, SpO₂ 86% on 2L O₂. CURB-65 is 5. He requires intubation for respiratory failure. Lactate is 5.5 mmol/L. Sputum Gram stain shows gram-positive diplococci. What is the most appropriate antibiotic regimen?

Accepted Answer

ICU admission

Answer

Ward admission with IV antibiotics

Answer

Emergency department observation for 24 hours

Answer

Ward admission with oral antibiotics

Answer

Outpatient management with oral antibiotics

Severe CAP ICU — RACP Adult Medicine MCQ