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Urosepsis with shock — PARA MCQ

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HardEmergency presentations - SepsisUrosepsis with shockPARA

A 74-year-old man is brought to the emergency department with fever, confusion and dysuria. His temperature is 38.9°C, blood pressure 86/52 mmHg, pulse 124 beats/min and lactate is 4.6 mmol/L. What is the most appropriate management?

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Correct answer: D — Give high-flow oxygen, obtain cultures and start the sepsis pathway with urgent senior review

This is septic shock from a likely urinary source. Initial management is immediate ABCDE assessment, oxygen if needed, cultures, prompt IV antimicrobials and fluids within a sepsis pathway, with senior escalation.

Reference: NICE NG51: Sepsis; UK Sepsis Trust clinical tools