Early warning scores, neurological assessment, fluid resuscitation and more.

Mr J. Daniels, is a 67 years gentleman who underwent a total knee operation two days ago. Today he has complained of a cough and declines any food being offered by the catering service. He responds to voice commands by opening his eyes but he seems lethargic. His respirations 20 bpm, oxygen saturation is 92% when using nasal specs - This has not improved over the last 4 hours. Pulse 90 bpm BP 103/60 mmHg Temperature 38.5°C. Your colleague has asked if you would review this patient because his National Early Warning Score is 6. We want you to consider how you would manage this acutely ill patient? decide what is the best approach. You may share your thoughts online with your module colleagues and come to a collaborative decision in how best to manage his condition. Consider what evidence-based approach you take and explain why this approach is most effective.