Case 2 - Part 1

A 55-year-old gentleman is being treated for diarrhoea and vomiting.

Observations:

Question: Looking at the EWSS in Table 1, note his observations in bold text on the chart.

Answer

Score

3

2

1

0

1

2

3
RR

<9

9-14

15-20

21-29

30+
HR

<40

41-50

51-100

101-110

111-129

130+
Sys BP

<70

70-79

80-99

100-170

171-199

200+
CNS

Agitated

Alert

Responds to voice

Responds to pain

Unresponsive
Temp

<35

35-37.9

38-38.4

38.5+
Urine

<20 ml/h

<30 ml/h

<40 ml/h

Table 1: EWSS with patient results highlighted

A 55-year-old gentleman is being treated for diarrhoea and vomiting.

Observations:

  • Respiratory rate 22/min
  • Heart rate 108 beats/min
  • Blood pressure 85/40 mmHg
  • CNS Alert
  • Temperature 38.4°C
  • Urine output 22 ml/hr last 2 hours

Question: Looking at the EWSS in Table 1, note his observations in bold text on the chart.

Answer: Table 2 shows that his early warning score is 7.

Sign

Score
Respiratory rate

2
Heart rate

1
Blood pressure

1
Conscious level

0
Temperature

1
Urine output

2
Total

7
Table 2 EWSS

A 55-year-old gentleman is being treated for diarrhoea and vomiting.

Observations:

  • Respiratory rate 22/min
  • Heart rate 108 beats/min
  • Blood pressure 85/40 mmHg
  • CNS Alert
  • Temperature 38.4°C
  • Urine output 22 ml/hr last 2 hours

Question: Looking at the EWSS in Table 1, note his observations in bold text on the chart.

Answer: Table 2 shows that his early warning score is 7.

Score

3

2

1

0

1

2

3
RR

<9

9-14

15-20

21-29

30+
HR

<40

41-50

51-100

101-110

111-129

130+
Sys BP

<70

70-79

80-99

100-170

171-199

200+
CNS

Agitated

Alert

Responds to voice

Responds to pain

Unresponsive
Temp

<35

35-37.9

38-38.4

38.5+
Urine

<20 ml/h

<30 ml/h

<40 ml/h

Table 1: EWSS with patient results highlighted