Question

A 69-year-old woman in hospital develops fever, hypotension, tachycardia and confusion 2 days after surgery for a perforated diverticulum. Her NEWS2 score is 7. According to UK sepsis guidance, what is the most appropriate immediate management bundle?

Accepted Answer

Administer oxygen, take blood cultures, give IV antibiotics, start IV fluids, measure lactate and monitor urine output

Answer

Start prophylactic LMWH and observe for 12 hours

Answer

Give high-dose steroids and delay antibiotics until culture results

Answer

Arrange CT abdomen before starting any treatment

Answer

Prescribe oral antibiotics and increase observations to 4-hourly

Practice question

A 69-year-old woman in hospital develops fever, hypotension, tachycardia and confusion 2 days after surgery for a perforated diverticulum. Her NEWS2 score is 7. According to UK sepsis guidance, what is the most appropriate immediate management bundle?