Question

A 76-year-old woman presents with new confusion, hypotension, tachycardia, and fever. NEWS2 is 8. Lactate is 4.2 mmol/L. What is the most appropriate immediate management priority in the first hour?

Accepted Answer

Begin IV fluids 30 mL/kg crystalloid

Answer

Start broad-spectrum IV antibiotics

Answer

Obtain blood cultures then antibiotics

Answer

Immediate CT abdomen

Answer

Initiate vasopressors via peripheral line

Practice question

A 76-year-old woman presents with new confusion, hypotension, tachycardia, and fever. NEWS2 is 8. Lactate is 4.2 mmol/L. What is the most appropriate immediate management priority in the first hour?