A 70-year-old man with suspected sepsis from a urinary source presents with hypotension, tachycardia, tachypnoea and lactate 4 mmol/L. NEWS2 score is ...

Question

A 70-year-old man with suspected sepsis from a urinary source presents with hypotension, tachycardia, tachypnoea and lactate 4 mmol/L. NEWS2 score is 9. What is the most appropriate immediate management bundle?

Accepted Answer

Implement Sepsis Six: give oxygen, obtain blood cultures, start IV antibiotics, give IV fluids, measure lactate and monitor urine output

Answer

Start oral antibiotics and review in 24 hours

Answer

Observe without investigations until urine culture results are back

Answer

Give steroids only

Answer

Delay fluids due to hypotension

uk-plab-1 MCQ (SBA): Sepsis and the deteriorating patient

A 70-year-old man with suspected sepsis from a urinary source presents with hypotension, tachycardia, tachypnoea and lactate 4 mmol/L. NEWS2 score is 9. What is the most appropriate immediate management bundle?