Question

A 74-year-old woman on a medical ward has observations recorded: respiratory rate 30/min, oxygen saturations 90% on 2 L oxygen, systolic BP 85 mmHg, heart rate 120/min, temperature 38.4°C and new confusion. Her NEWS2 score is calculated as 10. According to NEWS2 guidance, what is the most appropriate response?

Accepted Answer

Immediate senior clinical review and consideration of transfer to a higher level of care

Answer

Continue routine observations and review at the next ward round

Answer

Increase observation frequency to 4-hourly, no escalation

Answer

Discharge home as sats are acceptable on oxygen

Answer

Stop oxygen to avoid suppressing respiratory drive

Practice question