A 68-year-old woman admitted with pneumonia has the following observations: respiratory rate 30, oxygen saturations 90 percent on air, blood pressure ...

Question

A 68-year-old woman admitted with pneumonia has the following observations: respiratory rate 30, oxygen saturations 90 percent on air, blood pressure 88/60 mmHg, pulse 120, temperature 38.5 degrees Celsius and new confusion. Her NEWS2 score is calculated as 10. What is the most appropriate response?

Accepted Answer

Urgently call the hospital rapid response or medical emergency team and the senior doctor

Answer

Continue routine 4-hourly observations

Answer

Inform the ward sister only and recheck in 6 hours

Answer

Discharge the patient with oral antibiotics

Answer

Wait for the next consultant ward round before escalating care

uk-plab-1 MCQ (SBA): Deteriorating patient – NEWS2 escalation