22nd May 2024

A 74-year-old male is referred to the acute medical unit by his GP with lethargy and fever. He had felt

A 74-year-old male is referred to the acute medical unit by his GP with lethargy and fever. He had felt lethargic for 3-4 days and complained of some left shoulder pain and back pain. He had rigors, but nil else in terms of positive symptomatology. He weighs 83 kg, has a history of Type 2 diabetes and benign prostatic hypertrophy. He is normally on Aspirin 75mg OD, Metformin 1g BD and Gliclazide 80mg BD. He has been in the department for 3 hours and has had IV antibiotics and IV fluids. His Blood pressure is 95/66 mmHg, having been 92/60 mmHg on admission 3 hours ago. His GCS is 15, as it was on admission. His RR is 24 and his saturations are 94% on air. His lactate is 2.3 on a VBG, having been 2.5 on admission.

Which is the most appropriate course of action with regards to oxygen therapy?

Select the SINGLE most appropriate option from the list below. Select ONE option only.