Station - Instructions for candidate
You are an intern on the acute medical ward. A patient you have been looking after since admission starts to show signs of deterioration shortly after the nursing staff commence the first dose of an IV antibiotic.
Kavya Menon is a 42-year-old female who was admitted to the ward this morning with suspected community-acquired pneumonia. The nursing staff have just started an intravenous antibiotic infusion. You are called urgently to the bedside as the patient has developed a rash and is having difficulty breathing. She appears unwell and you note she has become very pale.
| Vital signs on arrival at bedside | HR 124 bpm regular, BP 74/44 mmHg, RR 28, SpO2 88% on room air, temperature 37.3 C |
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Your tasks are to:
- Perform an A-E assessment of this acutely unwell patient and treat as you go.
- State your most likely diagnosis to the examiner.
- Outline your immediate and early management plan including the key drug, dose and route.
- You do NOT need to take a history or summarise your findings to the examiner; focus on assessment and treatment.
- A registered nurse is present at the bedside to assist you.
This is a 10-minute station, with 2 minutes of reading time.