Question

A 68-year-old man in hospital for pneumonia develops fever, hypotension (BP 86/50 mmHg), tachycardia 118 bpm and respiratory rate 30 breaths/min. His NEWS2 score is 9. Capillary lactate is 4.5 mmol/L. What is the most appropriate immediate management bundle?

Accepted Answer

Commence the Sepsis Six bundle including oxygen, IV fluids, blood cultures and IV antibiotics within 1 hour

Answer

Give oxygen only and repeat observations in 4 hours

Answer

Start oral antibiotics and oral fluids

Answer

Wait for blood culture results before giving antibiotics

Answer

Transfer to the ward for observation without intervention

Practice question

A 68-year-old man in hospital for pneumonia develops fever, hypotension (BP 86/50 mmHg), tachycardia 118 bpm and respiratory rate 30 breaths/min. His NEWS2 score is 9. Capillary lactate is 4.5 mmol/L. What is the most appropriate immediate management bundle?