ABSTRACT
Tests include blood cultures, urine microscopy and culture, throat, vaginal, wound swabs, CXR, FBC, differential white cell count, blood film and specific antibody titres.
Consider transfer to HDU/ICU if appropriate and invasively monitor
If the clinical picture of pyrexia, tachycardia, hyperdynamic peripheral circulation, wide pulse pressure and hypotension exists invasive monitoring of arterial, central venous and pulmonary artery pressures may be appropriate to optimize volume replacement and allow the use of inotropes.
