17th July 2020

You are called to see a 64-year-old lady who was admitted to the ward with acute cholecystitis, two days ago

You are on-call and are called to see a 64-year-old lady who was admitted to the ward with acute cholecystitis, two days ago – and who has now become more unwell. Over the last two days, she has been kept NBM, and been treated with maintenance IV fluids and analgesia.

On admission, her observations were: HR 105, BP 140/85, RR 20, temp 37.9, sats 98% on air. Her observations now are: HR 125, BP 90/60, RR 22, temp 39.2, sats 97% on air. What is your initial management plan?

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