Question

A 67-year-old man on the medical ward develops fever, tachycardia, hypotension and oliguria following admission with a urinary tract infection. Sepsis is suspected and his NEWS2 score is 6. What is the most appropriate immediate bundle of interventions to initiate within the first hour?

Accepted Answer

Obtain blood cultures, give intravenous broad-spectrum antibiotics, give intravenous fluids, administer high-flow oxygen, measure lactate and monitor urine output

Answer

Give paracetamol, obtain a chest X-ray and repeat observations in 4 hours

Answer

Start low-dose oral antibiotics and encourage oral fluids

Answer

Arrange an urgent CT scan of the abdomen before starting treatment

Answer

Administer vasopressors immediately without giving fluids

Practice question

A 67-year-old man on the medical ward develops fever, tachycardia, hypotension and oliguria following admission with a urinary tract infection. Sepsis is suspected and his NEWS2 score is 6. What is the most appropriate immediate bundle of interventions to initiate within the first hour?