A 72-year-old man with pneumonia complains of marked dyspnea, chest pain, severe cough with expectoration, is 39.5-40°C, no urination for a whole day. Objectively the patient is conscious. Respiratory rate is 36/min. Over the right lower pulmonary lobe percussion sound is dull: on auscultation there is bronchial respiration and numerous moist crackles. Blood pressure is 80/60 mm Hg. Heart rate is 120/min. Heart sounds are muffled, there is tachycardia. What tactics should the family doctor choose in the management of this patient?

Answer options

1. Hospitalization into the pulmonology unit
2. Hospitalization into the intensive care unit
3. Hospitalization into the neurology unit
4. Treatment in the day patient facility
5. Outpatient treatment

Explanation

A 72-year-old man with pneumonia complains of marked dyspnea, chest pain, severe cough with expectoration, to is 39.5-40°C no urination for a whole day. Objectively the patient is conscious. Respiratory rate is 36/min. Over the right lower pulmonary lobe percussion sound is dull; on auscultation there is bronchial respiration and numerous moist crackles. Blood pressure is 80/60 mm Hg. Heart rate is 120/min. Heart sounds are muffled, there is tachycardia. What tactics should the family doctor choose in the management of this patient?