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Severe pneumonia — DipIMC MCQ

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EasyMedical EmergenciesSevere pneumoniaDipIMC

A 69-year-old man with fever and cough is breathless at home. Respiratory rate is 32, saturations 86% on air, blood pressure 100/64 and he is newly confused. What is the most appropriate immediate action?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Give oxygen, assess for sepsis and arrange urgent hospital transfer

Hypoxaemia, tachypnoea and confusion in suspected pneumonia indicate severe illness and possible sepsis. Oxygen and urgent hospital transfer are required. Arterial blood gas is not needed before treating significant hypoxaemia in the field. The pearl is that respiratory rate is often the earliest vital sign showing deterioration.

Reference: JRCALC Guidelines 2025; NICE Pneumonia NG138; NICE Sepsis NG51