Case 4
An 80 year old man presents to the ED complaining of 4 days of chesty cough productive of green sputum, anorexia, malaise and fevers. He has a past history of Hypertension, hypercholesterolaemia and ischaemic heart disease with previous CABG. He was discharged from hospital 1 week ago following a 5 day admission with an NSTEMI which was medically managed.
His observations are as follows;
Temp 38.9, RR 24, Sats 90% RA, HR 102, 155/87
His Chest x-ray is opposite.
Question 1
What is the diagnosis?
Question 2
How do you calculate the severity of this condition?
Question 3
What therapy do you initiate in ED?