Question

A 70-year-old man presents with productive cough, dyspnea, and fever. Chest radiograph shows right lower lobe consolidation. He has COPD, heart failure, and diabetes. PSI class is IV. Oxygen saturation is 89% on room air. What is the most appropriate site of care?

Accepted Answer

Inpatient hospital admission to medical ward

Answer

Outpatient oral antibiotics and clinic follow-up

Answer

Observation unit for 12 hours then discharge

Answer

ICU admission for all PSI class IV

Answer

Home oxygen therapy only

Practice question

A 70-year-old man presents with productive cough, dyspnea, and fever. Chest radiograph shows right lower lobe consolidation. He has COPD, heart failure, and diabetes. PSI class is IV. Oxygen saturation is 89% on room air. What is the most appropriate site of care?