Question

A 74-year-old man presents with fever, productive cough and pleuritic chest pain. His CURB‑65 score is 3 (confusion, urea 9.0 mmol/L, respiratory rate 32/min, blood pressure 95/60 mmHg, age 74). According to UK pneumonia guidance, what is the most appropriate setting and general management?

Accepted Answer

Admission for intravenous antibiotics and consideration of high-dependency unit care

Answer

Oral antibiotics at home with GP review in 48 hours

Answer

Admission for oral antibiotics on a general ward

Answer

No antibiotics and arrange outpatient CT chest

Answer

Discharge and arrange community palliative care only

Practice question

A 74-year-old man presents with fever, productive cough and pleuritic chest pain. His CURB‑65 score is 3 (confusion, urea 9.0 mmol/L, respiratory rate 32/min, blood pressure 95/60 mmHg, age 74). According to UK pneumonia guidance, what is the most appropriate setting and general management?