A 68-year-old man admitted with community-acquired pneumonia has a NEWS2 score of 8, with hypotension, tachypnoea and new confusion. The junior doctor...

Question

A 68-year-old man admitted with community-acquired pneumonia has a NEWS2 score of 8, with hypotension, tachypnoea and new confusion. The junior doctor is busy in clinic. As the on-call FY2 reviewing the observation chart, what should you do?

Accepted Answer

Escalate immediately to the senior medical team or critical care outreach and review the patient urgently using an ABCDE approach

Answer

Recheck observations in 4 hours

Answer

Ask the nurse to give an extra dose of paracetamol

Answer

Discharge the patient as soon as possible

Answer

Reduce the frequency of observations to avoid distressing the patient

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

A 68-year-old man admitted with community-acquired pneumonia has a NEWS2 score of 8, with hypotension, tachypnoea and new confusion. The junior doctor is busy in clinic. As the on-call FY2 reviewing the observation chart, what should you do?