Question

A 67-year-old man on the surgical ward suddenly becomes confused, hypotensive and tachycardic with a temperature of 39.2 degrees Celsius. His NEWS2 score is 8. Lactate is elevated. What is the most appropriate immediate management bundle?

Accepted Answer

Start the sepsis six: oxygen, blood cultures, IV antibiotics, IV fluids, lactate measurement and urine output monitoring

Answer

Give oral antibiotics and observe

Answer

Arrange CT scan before giving antibiotics

Answer

Wait for blood culture results before starting treatment

Answer

Start only antipyretics and recheck temperature in 4 hours

Practice question

A 67-year-old man on the surgical ward suddenly becomes confused, hypotensive and tachycardic with a temperature of 39.2 degrees Celsius. His NEWS2 score is 8. Lactate is elevated. What is the most appropriate immediate management bundle?