Question

A 78-year-old man with community-acquired pneumonia is on an acute medical ward. His observations are: temperature 38.3°C, heart rate 118 beats/min, blood pressure 88/54 mmHg, respiratory rate 30/min, and oxygen saturation 90% on 4 L/min oxygen via nasal cannulae. He is drowsy and confused. His NEWS2 score is calculated as 9. What is the single most appropriate action based on his NEWS2 score?

Accepted Answer

Urgent senior review and consideration of transfer to a higher level of care (HDU/ICU)

Answer

Repeat observations in 4 hours and continue current treatment

Answer

Increase oxygen to 15 L/min via non-rebreathe mask and discharge if saturations improve

Answer

Arrange routine review on the next consultant ward round

Answer

Stop antibiotics until a definitive diagnosis is confirmed

Practice question