Clinical case studies

A 68-year-old post-op day 2 has HR 118, BP 102/58, RR 22, T 38.6°C, and SpO₂ 94% on RA. They report fatigue and mild confusion. Urine output has been 15 mL/hr for two hours.

Which action best matches initial stabilization and scope?

• Activate rapid response / provider notification, obtain IV access if needed, begin ordered fluids/antibiotics per protocol, and reassess frequently.
• Encourage oral fluids only and recheck in 4 hours.
• Discharge home with follow-up since surgery was uncomplicated.