Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Respiratory rate varied between 21 breaths/min and 30 breaths/min, with the latest value 29 breaths/min; the latest MAP is 95 mmHg; the latest systolic BP is 138 mmHg.
B. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Respiratory rate varied between 21 breaths/min and 30 breaths/min, with the latest value 29 breaths/min; the latest heart rate is 94 bpm; the latest MAP is 95 mmHg.
C. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. Respiratory rate varied between 21 breaths/min and 30 breaths/min, with the latest value 29 breaths/min; the latest heart rate is 94 bpm; the latest MAP is 95 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Respiratory rate varied between 21 breaths/min and 30 breaths/min, with the latest value 29 breaths/min; the latest MAP is 95 mmHg; the latest systolic BP is 138 mmHg.

Answer: B


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Respiratory rate varied between 16 breaths/min and 35 breaths/min, with the latest value 21 breaths/min; the latest MAP is 68 mmHg; the latest heart rate is 72 bpm.
B. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Respiratory rate varied between 16 breaths/min and 35 breaths/min, with the latest value 21 breaths/min; the latest MAP is 68 mmHg; the latest systolic BP is 102 mmHg.
C. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Respiratory rate varied between 16 breaths/min and 35 breaths/min, with the latest value 21 breaths/min; the latest MAP is 68 mmHg; the latest heart rate is 72 bpm.
D. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Respiratory rate varied between 16 breaths/min and 35 breaths/min, with the latest value 21 breaths/min; the latest MAP is 68 mmHg; the latest systolic BP is 102 mmHg.

Answer: B


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Respiratory rate varied between 16 breaths/min and 35 breaths/min, with the latest value 21 breaths/min; the latest systolic BP is 102 mmHg; the latest respiratory rate is 21 breaths/min.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Respiratory rate varied between 16 breaths/min and 35 breaths/min, with the latest value 21 breaths/min; the latest heart rate is 72 bpm; the latest MAP is 68 mmHg.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Respiratory rate varied between 16 breaths/min and 35 breaths/min, with the latest value 21 breaths/min; the latest systolic BP is 102 mmHg; the latest respiratory rate is 21 breaths/min.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Respiratory rate varied between 16 breaths/min and 35 breaths/min, with the latest value 21 breaths/min; the latest heart rate is 72 bpm; the latest MAP is 68 mmHg.

Answer: A


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Creatinine was 3 mg/dL on the available recent reading; diastolic BP recovered to 49 mmHg after a recent low of 41 mmHg below 50 mmHg; the latest bedside set shows MAP 85 mmHg and systolic BP 187 mmHg.
B. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Diastolic BP recovered to 49 mmHg after a recent low of 41 mmHg below 50 mmHg; heart rate returned to 50 bpm after reaching 57 bpm; the current values include heart rate 50 bpm and MAP 85 mmHg.
C. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Creatinine was 3 mg/dL on the available recent reading; diastolic BP recovered to 49 mmHg after a recent low of 41 mmHg below 50 mmHg; the last snapshot shows MAP 85 mmHg with systolic BP 187 mmHg.
D. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Diastolic BP recovered to 49 mmHg after a recent low of 41 mmHg below 50 mmHg; heart rate returned to 50 bpm after reaching 57 bpm; the most recent entries show heart rate 50 bpm and MAP 85 mmHg.

Answer: B


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. MAP recovered to 65 mmHg after a recent low of 57 mmHg below 65 mmHg; the recent WBC reading was 22.6 K/uL; the latest bedside set shows heart rate 107 bpm and MAP 65 mmHg.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Urine output most recently reached 14 mL after low intervals down to 0 mL; MAP recovered to 65 mmHg after a recent low of 57 mmHg below 65 mmHg; the last snapshot shows systolic BP 125 mmHg with respiratory rate 17 breaths/min.
C. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Urine output most recently reached 14 mL after low intervals down to 0 mL; MAP recovered to 65 mmHg after a recent low of 57 mmHg below 65 mmHg; the current values include systolic BP 125 mmHg and respiratory rate 17 breaths/min.
D. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. MAP recovered to 65 mmHg after a recent low of 57 mmHg below 65 mmHg; the recent WBC reading was 22.6 K/uL; the most recent entries show heart rate 107 bpm and MAP 65 mmHg.

Answer: B


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. The recent WBC reading was 12.5 K/uL; the latest MAP is 82 mmHg; the latest heart rate is 83 bpm.
B. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. The recent WBC reading was 12.5 K/uL; the latest MAP is 82 mmHg; the latest heart rate is 83 bpm.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Diastolic BP recovered to 75 mmHg after a recent low of 42 mmHg below 50 mmHg; the recent WBC reading was 12.5 K/uL; the current values include systolic BP 122 mmHg and respiratory rate 14 breaths/min.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Diastolic BP recovered to 75 mmHg after a recent low of 42 mmHg below 50 mmHg; the recent WBC reading was 12.5 K/uL; the most recent entries show systolic BP 122 mmHg and respiratory rate 14 breaths/min.

Answer: B


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Systolic BP recovered to 98 mmHg after a recent low of 93 mmHg below 90 mmHg; the latest heart rate is 92 bpm; the latest MAP is 70 mmHg.
B. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Systolic BP recovered to 98 mmHg after a recent low of 93 mmHg below 90 mmHg; the latest heart rate is 92 bpm; the latest MAP is 70 mmHg.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Systolic BP recovered to 98 mmHg after a recent low of 93 mmHg below 90 mmHg; the latest systolic BP is 98 mmHg; the latest respiratory rate is 16 breaths/min.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Systolic BP recovered to 98 mmHg after a recent low of 93 mmHg below 90 mmHg; the latest systolic BP is 98 mmHg; the latest respiratory rate is 16 breaths/min.

Answer: D


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Respiratory rate varied between 15 breaths/min and 32 breaths/min, with the latest value 21 breaths/min; the recent WBC reading was 15.4 K/uL; the most recent entries show heart rate 87 bpm and MAP 82 mmHg.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. SpO2 varied between 85% and 95%, with the latest value 94%; the recent WBC reading was 15.4 K/uL; the last snapshot shows systolic BP 129 mmHg with respiratory rate 21 breaths/min.
C. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Respiratory rate varied between 15 breaths/min and 32 breaths/min, with the latest value 21 breaths/min; the recent WBC reading was 15.4 K/uL; the latest bedside set shows heart rate 87 bpm and MAP 82 mmHg.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. SpO2 varied between 85% and 95%, with the latest value 94%; the recent WBC reading was 15.4 K/uL; the current values include systolic BP 129 mmHg and respiratory rate 21 breaths/min.

Answer: B


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. SpO2 ended at 98% after dropping as low as 88%; WBC returned to 2 K/uL after reaching 19.1 K/uL; the most recent entries show MAP 90 mmHg and systolic BP 118 mmHg.
B. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. WBC returned to 2 K/uL after reaching 19.1 K/uL; the recent respiratory rate reading was 25 breaths/min; the last snapshot shows MAP 90 mmHg with heart rate 96 bpm.
C. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. SpO2 ended at 98% after dropping as low as 88%; WBC returned to 2 K/uL after reaching 19.1 K/uL; the latest bedside set shows MAP 90 mmHg and systolic BP 118 mmHg.
D. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. WBC returned to 2 K/uL after reaching 19.1 K/uL; the recent respiratory rate reading was 25 breaths/min; the current values include MAP 90 mmHg and heart rate 96 bpm.

Answer: A


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. SpO2 varied between 71% and 100%, with the latest value 85%; respiratory rate ended at 25 breaths/min after a recent low of 18 breaths/min; the latest bedside set shows systolic BP 116 mmHg and respiratory rate 25 breaths/min.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Respiratory rate ended at 25 breaths/min after a recent low of 18 breaths/min; the latest MAP is 86 mmHg; the latest heart rate is 60 bpm.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Respiratory rate ended at 25 breaths/min after a recent low of 18 breaths/min; the latest MAP is 86 mmHg; the latest heart rate is 60 bpm.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. SpO2 varied between 71% and 100%, with the latest value 85%; respiratory rate ended at 25 breaths/min after a recent low of 18 breaths/min; the current values include systolic BP 116 mmHg and respiratory rate 25 breaths/min.

Answer: B


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. Heart rate returned to 40 bpm after reaching 81 bpm; SpO2 came back to 88% after reaching 96%; the current values include systolic BP 137 mmHg and respiratory rate 18 breaths/min.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. SpO2 came back to 88% after reaching 96%; the latest MAP is 83 mmHg; the latest heart rate is 40 bpm.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Heart rate returned to 40 bpm after reaching 81 bpm; SpO2 came back to 88% after reaching 96%; the most recent entries show systolic BP 137 mmHg and respiratory rate 18 breaths/min.
D. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. SpO2 came back to 88% after reaching 96%; the latest MAP is 83 mmHg; the latest heart rate is 40 bpm.

Answer: B


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Heart rate returned to 40 bpm after reaching 81 bpm; SpO2 came back to 88% after reaching 96%; the last snapshot shows heart rate 40 bpm with MAP 83 mmHg.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Heart rate returned to 40 bpm after reaching 81 bpm; SpO2 came back to 88% after reaching 96%; the latest bedside set shows systolic BP 137 mmHg and respiratory rate 18 breaths/min.
C. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Heart rate returned to 40 bpm after reaching 81 bpm; SpO2 came back to 88% after reaching 96%; the current values include systolic BP 137 mmHg and respiratory rate 18 breaths/min.
D. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. Heart rate returned to 40 bpm after reaching 81 bpm; SpO2 came back to 88% after reaching 96%; the most recent entries show heart rate 40 bpm and MAP 83 mmHg.

Answer: B


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 ended at 96% after dropping as low as 85%; heart rate varied between 50 bpm and 120 bpm, with the latest value 80 bpm; the last snapshot shows systolic BP 123 mmHg with respiratory rate 19 breaths/min.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Urine output most recently reached 0 mL after low intervals down to 0 mL; heart rate varied between 50 bpm and 120 bpm, with the latest value 80 bpm; the current values include MAP 95 mmHg and heart rate 80 bpm.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Urine output most recently reached 0 mL after low intervals down to 0 mL; heart rate varied between 50 bpm and 120 bpm, with the latest value 80 bpm; the latest bedside set shows MAP 95 mmHg and heart rate 80 bpm.
D. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. SpO2 ended at 96% after dropping as low as 85%; heart rate varied between 50 bpm and 120 bpm, with the latest value 80 bpm; the most recent entries show systolic BP 123 mmHg and respiratory rate 19 breaths/min.

Answer: B


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Systolic BP recovered to 123 mmHg after a recent low of 89 mmHg below 90 mmHg; the recent WBC reading was 15.2 K/uL; the latest bedside set shows heart rate 80 bpm and MAP 95 mmHg.
B. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. SpO2 ended at 96% after dropping as low as 85%; heart rate varied between 50 bpm and 120 bpm, with the latest value 80 bpm; the last snapshot shows systolic BP 123 mmHg with respiratory rate 19 breaths/min.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Systolic BP recovered to 123 mmHg after a recent low of 89 mmHg below 90 mmHg; the recent WBC reading was 15.2 K/uL; the current values include heart rate 80 bpm and MAP 95 mmHg.
D. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 ended at 96% after dropping as low as 85%; heart rate varied between 50 bpm and 120 bpm, with the latest value 80 bpm; the most recent entries show systolic BP 123 mmHg and respiratory rate 19 breaths/min.

Answer: D


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. SpO2 ended at 96% after dropping as low as 85%; urine output most recently reached 0 mL after low intervals down to 0 mL; the last snapshot shows MAP 95 mmHg with systolic BP 123 mmHg.
B. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Systolic BP recovered to 123 mmHg after a recent low of 89 mmHg below 90 mmHg; the recent WBC reading was 15.2 K/uL; the most recent entries show heart rate 80 bpm and MAP 95 mmHg.
C. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 ended at 96% after dropping as low as 85%; urine output most recently reached 0 mL after low intervals down to 0 mL; the latest bedside set shows MAP 95 mmHg and systolic BP 123 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Systolic BP recovered to 123 mmHg after a recent low of 89 mmHg below 90 mmHg; the recent WBC reading was 15.2 K/uL; the current values include heart rate 80 bpm and MAP 95 mmHg.

Answer: D


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. SpO2 ended at 97% after dropping as low as 91%; the recent WBC reading was 12.5 K/uL; the most recent entries show heart rate 65 bpm and MAP 76 mmHg.
B. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. SpO2 ended at 97% after dropping as low as 91%; the recent WBC reading was 12.5 K/uL; the current values include heart rate 65 bpm and MAP 76 mmHg.
C. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. Urine output most recently reached 100 mL after low intervals down to 20 mL; diastolic BP recovered to 66 mmHg after a recent low of 40 mmHg below 50 mmHg; the latest bedside set shows MAP 76 mmHg and systolic BP 101 mmHg.
D. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Urine output most recently reached 100 mL after low intervals down to 20 mL; diastolic BP recovered to 66 mmHg after a recent low of 40 mmHg below 50 mmHg; the last snapshot shows MAP 76 mmHg with systolic BP 101 mmHg.

Answer: B


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Urine output most recently reached 5 mL after low intervals down to 5 mL; heart rate returned to 46 bpm after reaching 95 bpm; the last snapshot shows systolic BP 145 mmHg with respiratory rate 19 breaths/min.
B. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Heart rate returned to 46 bpm after reaching 95 bpm; the recent WBC reading was 12.3 K/uL; the latest bedside set shows heart rate 46 bpm and MAP 89 mmHg.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Heart rate returned to 46 bpm after reaching 95 bpm; the recent WBC reading was 12.3 K/uL; the most recent entries show heart rate 46 bpm and MAP 89 mmHg.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Urine output most recently reached 5 mL after low intervals down to 5 mL; heart rate returned to 46 bpm after reaching 95 bpm; the current values include systolic BP 145 mmHg and respiratory rate 19 breaths/min.

Answer: A


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Heart rate varied between 50 bpm and 93 bpm, with the latest value 88 bpm; MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; the last snapshot shows MAP 100 mmHg with heart rate 88 bpm.
B. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 ended at 96% after dropping as low as 85%; heart rate varied between 50 bpm and 93 bpm, with the latest value 88 bpm; the most recent entries show MAP 100 mmHg and systolic BP 129 mmHg.
C. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Heart rate varied between 50 bpm and 93 bpm, with the latest value 88 bpm; MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; the current values include MAP 100 mmHg and heart rate 88 bpm.
D. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. SpO2 ended at 96% after dropping as low as 85%; heart rate varied between 50 bpm and 93 bpm, with the latest value 88 bpm; the latest bedside set shows MAP 100 mmHg and systolic BP 129 mmHg.

Answer: B


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Heart rate varied between 50 bpm and 93 bpm, with the latest value 88 bpm; MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; the last snapshot shows MAP 100 mmHg with heart rate 88 bpm.
B. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. SpO2 ended at 96% after dropping as low as 85%; MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; the most recent entries show systolic BP 129 mmHg and respiratory rate 15 breaths/min.
C. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. SpO2 ended at 96% after dropping as low as 85%; MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; the current values include systolic BP 129 mmHg and respiratory rate 15 breaths/min.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Heart rate varied between 50 bpm and 93 bpm, with the latest value 88 bpm; MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; the latest bedside set shows MAP 100 mmHg and heart rate 88 bpm.

Answer: D


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; urine output most recently reached 430 mL after low intervals down to 30 mL; the latest bedside set shows heart rate 88 bpm and MAP 100 mmHg.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; urine output most recently reached 430 mL after low intervals down to 30 mL; the current values include heart rate 88 bpm and MAP 100 mmHg.
C. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. SpO2 ended at 96% after dropping as low as 85%; MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; the last snapshot shows systolic BP 129 mmHg with respiratory rate 15 breaths/min.
D. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 ended at 96% after dropping as low as 85%; MAP recovered to 100 mmHg after a recent low of 63 mmHg below 65 mmHg; the most recent entries show systolic BP 129 mmHg and respiratory rate 15 breaths/min.

Answer: D


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Systolic BP recovered to 95 mmHg after a recent low of 82 mmHg below 90 mmHg; respiratory rate ended at 29 breaths/min after a recent low of 23 breaths/min; the current values include heart rate 87 bpm and MAP 54 mmHg.
B. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. MAP recovered to 54 mmHg after a recent low of 47 mmHg below 65 mmHg; diastolic BP recovered to 39 mmHg after a recent low of 35 mmHg below 50 mmHg; the last snapshot shows MAP 54 mmHg with systolic BP 95 mmHg.
C. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Systolic BP recovered to 95 mmHg after a recent low of 82 mmHg below 90 mmHg; respiratory rate ended at 29 breaths/min after a recent low of 23 breaths/min; the most recent entries show heart rate 87 bpm and MAP 54 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. MAP recovered to 54 mmHg after a recent low of 47 mmHg below 65 mmHg; diastolic BP recovered to 39 mmHg after a recent low of 35 mmHg below 50 mmHg; the latest bedside set shows MAP 54 mmHg and systolic BP 95 mmHg.

Answer: A


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. MAP recovered to 64 mmHg after a recent low of 52 mmHg below 65 mmHg; urine output most recently reached 30 mL after low intervals down to 30 mL; the latest bedside set shows MAP 64 mmHg and heart rate 71 bpm.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Diastolic BP recovered to 52 mmHg after a recent low of 40 mmHg below 50 mmHg; urine output most recently reached 30 mL after low intervals down to 30 mL; the current values include systolic BP 101 mmHg and respiratory rate 19 breaths/min.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. MAP recovered to 64 mmHg after a recent low of 52 mmHg below 65 mmHg; urine output most recently reached 30 mL after low intervals down to 30 mL; the last snapshot shows MAP 64 mmHg with heart rate 71 bpm.
D. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Diastolic BP recovered to 52 mmHg after a recent low of 40 mmHg below 50 mmHg; urine output most recently reached 30 mL after low intervals down to 30 mL; the most recent entries show systolic BP 101 mmHg and respiratory rate 19 breaths/min.

Answer: A


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. MAP recovered to 64 mmHg after a recent low of 52 mmHg below 65 mmHg; urine output most recently reached 30 mL after low intervals down to 30 mL; the current values include heart rate 71 bpm and MAP 64 mmHg.
B. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Diastolic BP recovered to 52 mmHg after a recent low of 40 mmHg below 50 mmHg; MAP recovered to 64 mmHg after a recent low of 52 mmHg below 65 mmHg; the latest bedside set shows MAP 64 mmHg and systolic BP 101 mmHg.
C. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Diastolic BP recovered to 52 mmHg after a recent low of 40 mmHg below 50 mmHg; MAP recovered to 64 mmHg after a recent low of 52 mmHg below 65 mmHg; the last snapshot shows MAP 64 mmHg with systolic BP 101 mmHg.
D. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. MAP recovered to 64 mmHg after a recent low of 52 mmHg below 65 mmHg; urine output most recently reached 30 mL after low intervals down to 30 mL; the most recent entries show heart rate 71 bpm and MAP 64 mmHg.

Answer: A


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. SpO2 varied between 91% and 96%, with the latest value 95%; the recent WBC reading was 13.4 K/uL; the current values include MAP 83 mmHg and systolic BP 135 mmHg.
B. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 varied between 91% and 96%, with the latest value 95%; the recent WBC reading was 13.4 K/uL; the latest bedside set shows MAP 83 mmHg and systolic BP 135 mmHg.
C. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. The recent WBC reading was 13.4 K/uL; the latest MAP is 83 mmHg; the latest heart rate is 77 bpm.
D. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. The recent WBC reading was 13.4 K/uL; the latest MAP is 83 mmHg; the latest heart rate is 77 bpm.

Answer: A


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. The recent WBC reading was 13.4 K/uL; the latest MAP is 83 mmHg; the latest heart rate is 77 bpm.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. SpO2 varied between 91% and 96%, with the latest value 95%; the recent WBC reading was 13.4 K/uL; the most recent entries show systolic BP 135 mmHg and respiratory rate 24 breaths/min.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. SpO2 varied between 91% and 96%, with the latest value 95%; the recent WBC reading was 13.4 K/uL; the current values include systolic BP 135 mmHg and respiratory rate 24 breaths/min.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. The recent WBC reading was 13.4 K/uL; the latest MAP is 83 mmHg; the latest heart rate is 77 bpm.

Answer: A


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 ended at 100% after dropping as low as 85%; systolic BP recovered to 101 mmHg after a recent low of 81 mmHg below 90 mmHg; the latest bedside set shows MAP 68 mmHg and heart rate 74 bpm.
B. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. SpO2 ended at 100% after dropping as low as 85%; systolic BP recovered to 101 mmHg after a recent low of 81 mmHg below 90 mmHg; the last snapshot shows MAP 68 mmHg with heart rate 74 bpm.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. MAP recovered to 68 mmHg after a recent low of 53 mmHg below 65 mmHg; systolic BP recovered to 101 mmHg after a recent low of 81 mmHg below 90 mmHg; the most recent entries show systolic BP 101 mmHg and respiratory rate 18 breaths/min.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. MAP recovered to 68 mmHg after a recent low of 53 mmHg below 65 mmHg; systolic BP recovered to 101 mmHg after a recent low of 81 mmHg below 90 mmHg; the current values include systolic BP 101 mmHg and respiratory rate 18 breaths/min.

Answer: A


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. No strong recent threshold breach is recorded in the available variables; the latest systolic BP is 132 mmHg; the latest respiratory rate is 19 breaths/min.
B. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. No strong recent threshold breach is recorded in the available variables; the latest heart rate is 68 bpm; the latest MAP is 79 mmHg.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. No strong recent threshold breach is recorded in the available variables; the latest heart rate is 68 bpm; the latest MAP is 79 mmHg.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. No strong recent threshold breach is recorded in the available variables; the latest systolic BP is 132 mmHg; the latest respiratory rate is 19 breaths/min.

Answer: D


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Respiratory rate returned to 8 breaths/min after reaching 17 breaths/min; MAP recovered to 62 mmHg after a recent low of 62 mmHg below 65 mmHg; the latest bedside set shows heart rate 68 bpm and MAP 62 mmHg.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Creatinine came back to 5.6 mg/dL after reaching 6.6 mg/dL; MAP recovered to 62 mmHg after a recent low of 62 mmHg below 65 mmHg; the last snapshot shows systolic BP 110 mmHg with respiratory rate 8 breaths/min.
C. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Creatinine came back to 5.6 mg/dL after reaching 6.6 mg/dL; MAP recovered to 62 mmHg after a recent low of 62 mmHg below 65 mmHg; the current values include systolic BP 110 mmHg and respiratory rate 8 breaths/min.
D. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. Respiratory rate returned to 8 breaths/min after reaching 17 breaths/min; MAP recovered to 62 mmHg after a recent low of 62 mmHg below 65 mmHg; the most recent entries show heart rate 68 bpm and MAP 62 mmHg.

Answer: B


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. SpO2 varied between 88% and 99%, with the latest value 95%; urine output most recently reached 30 mL after low intervals down to 30 mL; the last snapshot shows MAP 102 mmHg with heart rate 78 bpm.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Creatinine was 6.1 mg/dL on the available recent reading; urine output most recently reached 30 mL after low intervals down to 30 mL; the current values include systolic BP 144 mmHg and respiratory rate 18 breaths/min.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Creatinine was 6.1 mg/dL on the available recent reading; urine output most recently reached 30 mL after low intervals down to 30 mL; the most recent entries show systolic BP 144 mmHg and respiratory rate 18 breaths/min.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. SpO2 varied between 88% and 99%, with the latest value 95%; urine output most recently reached 30 mL after low intervals down to 30 mL; the latest bedside set shows MAP 102 mmHg and heart rate 78 bpm.

Answer: D


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Creatinine was 6.1 mg/dL on the available recent reading; SpO2 varied between 88% and 99%, with the latest value 95%; the last snapshot shows MAP 102 mmHg with systolic BP 144 mmHg.
B. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. WBC ended at 98 K/uL after a recent low of 13.2 K/uL; heart rate varied between 50 bpm and 81 bpm, with the latest value 78 bpm; the current values include heart rate 78 bpm and MAP 102 mmHg.
C. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. WBC ended at 98 K/uL after a recent low of 13.2 K/uL; heart rate varied between 50 bpm and 81 bpm, with the latest value 78 bpm; the most recent entries show heart rate 78 bpm and MAP 102 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Creatinine was 6.1 mg/dL on the available recent reading; SpO2 varied between 88% and 99%, with the latest value 95%; the latest bedside set shows MAP 102 mmHg and systolic BP 144 mmHg.

Answer: B


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. MAP recovered to 73 mmHg after a recent low of 57 mmHg below 65 mmHg; SpO2 varied between 85% and 100%, with the latest value 99%; the current values include systolic BP 113 mmHg and respiratory rate 18 breaths/min.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Urine output most recently reached 225 mL after low intervals down to 5 mL; SpO2 varied between 85% and 100%, with the latest value 99%; the most recent entries show MAP 73 mmHg and heart rate 71 bpm.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. MAP recovered to 73 mmHg after a recent low of 57 mmHg below 65 mmHg; SpO2 varied between 85% and 100%, with the latest value 99%; the latest bedside set shows systolic BP 113 mmHg and respiratory rate 18 breaths/min.
D. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Urine output most recently reached 225 mL after low intervals down to 5 mL; SpO2 varied between 85% and 100%, with the latest value 99%; the last snapshot shows MAP 73 mmHg with heart rate 71 bpm.

Answer: B


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Diastolic BP recovered to 60 mmHg after a recent low of 46 mmHg below 50 mmHg; heart rate varied between 50 bpm and 74 bpm, with the latest value 71 bpm; the last snapshot shows heart rate 71 bpm with MAP 73 mmHg.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. MAP recovered to 73 mmHg after a recent low of 57 mmHg below 65 mmHg; SpO2 varied between 85% and 100%, with the latest value 99%; the latest bedside set shows systolic BP 113 mmHg and respiratory rate 18 breaths/min.
C. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. MAP recovered to 73 mmHg after a recent low of 57 mmHg below 65 mmHg; SpO2 varied between 85% and 100%, with the latest value 99%; the current values include systolic BP 113 mmHg and respiratory rate 18 breaths/min.
D. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. Diastolic BP recovered to 60 mmHg after a recent low of 46 mmHg below 50 mmHg; heart rate varied between 50 bpm and 74 bpm, with the latest value 71 bpm; the most recent entries show heart rate 71 bpm and MAP 73 mmHg.

Answer: B


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Diastolic BP recovered to 60 mmHg after a recent low of 46 mmHg below 50 mmHg; heart rate varied between 50 bpm and 74 bpm, with the latest value 71 bpm; the current values include heart rate 71 bpm and MAP 73 mmHg.
B. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. MAP recovered to 73 mmHg after a recent low of 57 mmHg below 65 mmHg; urine output most recently reached 225 mL after low intervals down to 5 mL; the last snapshot shows MAP 73 mmHg with systolic BP 113 mmHg.
C. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Diastolic BP recovered to 60 mmHg after a recent low of 46 mmHg below 50 mmHg; heart rate varied between 50 bpm and 74 bpm, with the latest value 71 bpm; the most recent entries show heart rate 71 bpm and MAP 73 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. MAP recovered to 73 mmHg after a recent low of 57 mmHg below 65 mmHg; urine output most recently reached 225 mL after low intervals down to 5 mL; the latest bedside set shows MAP 73 mmHg and systolic BP 113 mmHg.

Answer: A


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Respiratory rate ended at 16 breaths/min after a recent low of 9 breaths/min; urine output most recently reached 300 mL after low intervals down to 1 mL; the most recent entries show heart rate 73 bpm and MAP 94 mmHg.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Respiratory rate ended at 16 breaths/min after a recent low of 9 breaths/min; urine output most recently reached 300 mL after low intervals down to 1 mL; the last snapshot shows heart rate 73 bpm with MAP 94 mmHg.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Respiratory rate ended at 16 breaths/min after a recent low of 9 breaths/min; urine output most recently reached 300 mL after low intervals down to 1 mL; the current values include systolic BP 126 mmHg and respiratory rate 16 breaths/min.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Respiratory rate ended at 16 breaths/min after a recent low of 9 breaths/min; urine output most recently reached 300 mL after low intervals down to 1 mL; the latest bedside set shows systolic BP 126 mmHg and respiratory rate 16 breaths/min.

Answer: D


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Respiratory rate ended at 16 breaths/min after a recent low of 9 breaths/min; urine output most recently reached 300 mL after low intervals down to 1 mL; the current values include heart rate 73 bpm and MAP 94 mmHg.
B. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Respiratory rate ended at 16 breaths/min after a recent low of 9 breaths/min; urine output most recently reached 300 mL after low intervals down to 1 mL; the most recent entries show heart rate 73 bpm and MAP 94 mmHg.
C. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Respiratory rate ended at 16 breaths/min after a recent low of 9 breaths/min; urine output most recently reached 300 mL after low intervals down to 1 mL; the latest bedside set shows MAP 94 mmHg and systolic BP 126 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Respiratory rate ended at 16 breaths/min after a recent low of 9 breaths/min; urine output most recently reached 300 mL after low intervals down to 1 mL; the last snapshot shows MAP 94 mmHg with systolic BP 126 mmHg.

Answer: A


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Urine output most recently reached 40 mL after low intervals down to 27 mL; lactate came back to 3.2 mmol/L after reaching 7.2 mmol/L; the last snapshot shows MAP 59 mmHg with heart rate 69 bpm.
B. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. MAP recovered to 59 mmHg after a recent low of 56 mmHg below 65 mmHg; urine output most recently reached 40 mL after low intervals down to 27 mL; the most recent entries show MAP 59 mmHg and systolic BP 111 mmHg.
C. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Urine output most recently reached 40 mL after low intervals down to 27 mL; lactate came back to 3.2 mmol/L after reaching 7.2 mmol/L; the current values include MAP 59 mmHg and heart rate 69 bpm.
D. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. MAP recovered to 59 mmHg after a recent low of 56 mmHg below 65 mmHg; urine output most recently reached 40 mL after low intervals down to 27 mL; the latest bedside set shows MAP 59 mmHg and systolic BP 111 mmHg.

Answer: B


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. MAP recovered to 59 mmHg after a recent low of 56 mmHg below 65 mmHg; lactate came back to 3.2 mmol/L after reaching 7.2 mmol/L; the latest bedside set shows systolic BP 111 mmHg and respiratory rate 24 breaths/min.
B. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Urine output most recently reached 40 mL after low intervals down to 27 mL; lactate came back to 3.2 mmol/L after reaching 7.2 mmol/L; the last snapshot shows MAP 59 mmHg with heart rate 69 bpm.
C. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. MAP recovered to 59 mmHg after a recent low of 56 mmHg below 65 mmHg; lactate came back to 3.2 mmol/L after reaching 7.2 mmol/L; the current values include systolic BP 111 mmHg and respiratory rate 24 breaths/min.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Urine output most recently reached 40 mL after low intervals down to 27 mL; lactate came back to 3.2 mmol/L after reaching 7.2 mmol/L; the most recent entries show MAP 59 mmHg and heart rate 69 bpm.

Answer: D


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Respiratory rate varied between 23 breaths/min and 30 breaths/min, with the latest value 28 breaths/min; the latest MAP is 76 mmHg; the latest heart rate is 65 bpm.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Creatinine was 6.3 mg/dL on the available recent reading; respiratory rate varied between 23 breaths/min and 30 breaths/min, with the latest value 28 breaths/min; the current values include systolic BP 112 mmHg and respiratory rate 28 breaths/min.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Creatinine was 6.3 mg/dL on the available recent reading; respiratory rate varied between 23 breaths/min and 30 breaths/min, with the latest value 28 breaths/min; the most recent entries show systolic BP 112 mmHg and respiratory rate 28 breaths/min.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Respiratory rate varied between 23 breaths/min and 30 breaths/min, with the latest value 28 breaths/min; the latest MAP is 76 mmHg; the latest heart rate is 65 bpm.

Answer: D


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. SpO2 came back to 77% after reaching 100%; MAP recovered to 77 mmHg after a recent low of 63 mmHg below 65 mmHg; the last snapshot shows systolic BP 115 mmHg with respiratory rate 28 breaths/min.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Respiratory rate ended at 28 breaths/min after a recent low of 8 breaths/min; MAP recovered to 77 mmHg after a recent low of 63 mmHg below 65 mmHg; the most recent entries show heart rate 86 bpm and MAP 77 mmHg.
C. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Respiratory rate ended at 28 breaths/min after a recent low of 8 breaths/min; MAP recovered to 77 mmHg after a recent low of 63 mmHg below 65 mmHg; the latest bedside set shows heart rate 86 bpm and MAP 77 mmHg.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. SpO2 came back to 77% after reaching 100%; MAP recovered to 77 mmHg after a recent low of 63 mmHg below 65 mmHg; the current values include systolic BP 115 mmHg and respiratory rate 28 breaths/min.

Answer: A


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Lactate came back to 1 mmol/L after reaching 3.1 mmol/L; SpO2 varied between 90% and 98%, with the latest value 94%; the most recent entries show MAP 88 mmHg and systolic BP 122 mmHg.
B. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. Lactate came back to 1 mmol/L after reaching 3.1 mmol/L; SpO2 varied between 90% and 98%, with the latest value 94%; the last snapshot shows MAP 88 mmHg with systolic BP 122 mmHg.
C. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. SpO2 varied between 90% and 98%, with the latest value 94%; the recent WBC reading was 18.4 K/uL; the current values include MAP 88 mmHg and heart rate 104 bpm.
D. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. SpO2 varied between 90% and 98%, with the latest value 94%; the recent WBC reading was 18.4 K/uL; the latest bedside set shows MAP 88 mmHg and heart rate 104 bpm.

Answer: B


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. SpO2 varied between 90% and 98%, with the latest value 94%; the recent WBC reading was 18.4 K/uL; the latest bedside set shows heart rate 104 bpm and MAP 88 mmHg.
B. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Lactate came back to 1 mmol/L after reaching 3.1 mmol/L; the recent WBC reading was 18.4 K/uL; the current values include systolic BP 122 mmHg and respiratory rate 14 breaths/min.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. SpO2 varied between 90% and 98%, with the latest value 94%; the recent WBC reading was 18.4 K/uL; the most recent entries show heart rate 104 bpm and MAP 88 mmHg.
D. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. Lactate came back to 1 mmol/L after reaching 3.1 mmol/L; the recent WBC reading was 18.4 K/uL; the last snapshot shows systolic BP 122 mmHg with respiratory rate 14 breaths/min.

Answer: D


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. SpO2 varied between 88% and 99%, with the latest value 97%; respiratory rate varied between 16 breaths/min and 30 breaths/min, with the latest value 28 breaths/min; the latest bedside set shows systolic BP 124 mmHg and respiratory rate 28 breaths/min.
B. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Heart rate varied between 45 bpm and 75 bpm, with the latest value 58 bpm; respiratory rate varied between 16 breaths/min and 30 breaths/min, with the latest value 28 breaths/min; the last snapshot shows MAP 79 mmHg with heart rate 58 bpm.
C. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. SpO2 varied between 88% and 99%, with the latest value 97%; respiratory rate varied between 16 breaths/min and 30 breaths/min, with the latest value 28 breaths/min; the current values include systolic BP 124 mmHg and respiratory rate 28 breaths/min.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Heart rate varied between 45 bpm and 75 bpm, with the latest value 58 bpm; respiratory rate varied between 16 breaths/min and 30 breaths/min, with the latest value 28 breaths/min; the most recent entries show MAP 79 mmHg and heart rate 58 bpm.

Answer: D


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. The recent WBC reading was 13.1 K/uL; the latest heart rate is 93 bpm; the latest MAP is 104 mmHg.
B. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. The recent WBC reading was 13.1 K/uL; the latest heart rate is 93 bpm; the latest MAP is 104 mmHg.
C. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. The recent WBC reading was 13.1 K/uL; the latest MAP is 104 mmHg; the latest systolic BP is 162 mmHg.
D. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. The recent WBC reading was 13.1 K/uL; the latest MAP is 104 mmHg; the latest systolic BP is 162 mmHg.

Answer: A


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 varied between 85% and 97%, with the latest value 96%; heart rate varied between 50 bpm and 72 bpm, with the latest value 62 bpm; the most recent entries show systolic BP 141 mmHg and respiratory rate 17 breaths/min.
B. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Heart rate varied between 50 bpm and 72 bpm, with the latest value 62 bpm; the latest MAP is 93 mmHg; the latest heart rate is 62 bpm.
C. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. SpO2 varied between 85% and 97%, with the latest value 96%; heart rate varied between 50 bpm and 72 bpm, with the latest value 62 bpm; the current values include systolic BP 141 mmHg and respiratory rate 17 breaths/min.
D. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Heart rate varied between 50 bpm and 72 bpm, with the latest value 62 bpm; the latest MAP is 93 mmHg; the latest heart rate is 62 bpm.

Answer: B


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. The recent WBC reading was 13.3 K/uL; the latest MAP is 89 mmHg; the latest heart rate is 89 bpm.
B. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. The recent WBC reading was 13.3 K/uL; the latest MAP is 89 mmHg; the latest systolic BP is 121 mmHg.
C. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. The recent WBC reading was 13.3 K/uL; the latest MAP is 89 mmHg; the latest heart rate is 89 bpm.
D. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. The recent WBC reading was 13.3 K/uL; the latest MAP is 89 mmHg; the latest systolic BP is 121 mmHg.

Answer: B


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. WBC ended at 17.5 K/uL after a recent low of 17.1 K/uL; the latest MAP is 128 mmHg; the latest systolic BP is 133 mmHg.
B. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. WBC ended at 17.5 K/uL after a recent low of 17.1 K/uL; the latest MAP is 128 mmHg; the latest systolic BP is 133 mmHg.
C. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. WBC ended at 17.5 K/uL after a recent low of 17.1 K/uL; the latest MAP is 128 mmHg; the latest heart rate is 80 bpm.
D. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. WBC ended at 17.5 K/uL after a recent low of 17.1 K/uL; the latest MAP is 128 mmHg; the latest heart rate is 80 bpm.

Answer: A


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. MAP recovered to 78 mmHg after a recent low of 56 mmHg below 65 mmHg; the latest MAP is 78 mmHg; the latest systolic BP is 126 mmHg.
B. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. MAP recovered to 78 mmHg after a recent low of 56 mmHg below 65 mmHg; the latest MAP is 78 mmHg; the latest heart rate is 91 bpm.
C. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. MAP recovered to 78 mmHg after a recent low of 56 mmHg below 65 mmHg; the latest MAP is 78 mmHg; the latest systolic BP is 126 mmHg.
D. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. MAP recovered to 78 mmHg after a recent low of 56 mmHg below 65 mmHg; the latest MAP is 78 mmHg; the latest heart rate is 91 bpm.

Answer: A


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. MAP recovered to 78 mmHg after a recent low of 56 mmHg below 65 mmHg; the latest MAP is 78 mmHg; the latest systolic BP is 126 mmHg.
B. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. MAP recovered to 78 mmHg after a recent low of 56 mmHg below 65 mmHg; the latest MAP is 78 mmHg; the latest systolic BP is 126 mmHg.
C. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. MAP recovered to 78 mmHg after a recent low of 56 mmHg below 65 mmHg; the latest heart rate is 91 bpm; the latest MAP is 78 mmHg.
D. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. MAP recovered to 78 mmHg after a recent low of 56 mmHg below 65 mmHg; the latest heart rate is 91 bpm; the latest MAP is 78 mmHg.

Answer: D


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest MAP is 67 mmHg; the latest systolic BP is 120 mmHg.
B. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest MAP is 67 mmHg; the latest heart rate is 105 bpm.
C. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest MAP is 67 mmHg; the latest heart rate is 105 bpm.
D. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest MAP is 67 mmHg; the latest systolic BP is 120 mmHg.

Answer: D


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest MAP is 67 mmHg; the latest heart rate is 105 bpm.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest systolic BP is 120 mmHg; the latest respiratory rate is 15 breaths/min.
C. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest MAP is 67 mmHg; the latest heart rate is 105 bpm.
D. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest systolic BP is 120 mmHg; the latest respiratory rate is 15 breaths/min.

Answer: A


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest heart rate is 105 bpm; the latest MAP is 67 mmHg.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest systolic BP is 120 mmHg; the latest respiratory rate is 15 breaths/min.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest heart rate is 105 bpm; the latest MAP is 67 mmHg.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest systolic BP is 120 mmHg; the latest respiratory rate is 15 breaths/min.

Answer: D


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest heart rate is 105 bpm; the latest MAP is 67 mmHg.
B. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest heart rate is 105 bpm; the latest MAP is 67 mmHg.
C. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest MAP is 67 mmHg; the latest systolic BP is 120 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Urine output most recently reached 100 mL after low intervals down to 25 mL; the latest MAP is 67 mmHg; the latest systolic BP is 120 mmHg.

Answer: B


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. MAP recovered to 69 mmHg after a recent low of 54 mmHg below 65 mmHg; urine output most recently reached 45 mL after low intervals down to 25 mL; the last snapshot shows MAP 69 mmHg with systolic BP 113 mmHg.
B. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Systolic BP recovered to 113 mmHg after a recent low of 85 mmHg below 90 mmHg; the recent WBC reading was 12.5 K/uL; the most recent entries show heart rate 71 bpm and MAP 69 mmHg.
C. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. MAP recovered to 69 mmHg after a recent low of 54 mmHg below 65 mmHg; urine output most recently reached 45 mL after low intervals down to 25 mL; the latest bedside set shows MAP 69 mmHg and systolic BP 113 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Systolic BP recovered to 113 mmHg after a recent low of 85 mmHg below 90 mmHg; the recent WBC reading was 12.5 K/uL; the current values include heart rate 71 bpm and MAP 69 mmHg.

Answer: D


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the most recent entries show MAP 74 mmHg and systolic BP 122 mmHg.
B. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Urine output most recently reached 50 mL after low intervals down to 25 mL; the latest MAP is 74 mmHg; the latest heart rate is 78 bpm.
C. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the latest bedside set shows MAP 74 mmHg and systolic BP 122 mmHg.
D. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Urine output most recently reached 50 mL after low intervals down to 25 mL; the latest MAP is 74 mmHg; the latest heart rate is 78 bpm.

Answer: A


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the latest bedside set shows systolic BP 122 mmHg and respiratory rate 19 breaths/min.
B. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the last snapshot shows heart rate 78 bpm with MAP 74 mmHg.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the current values include systolic BP 122 mmHg and respiratory rate 19 breaths/min.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the most recent entries show heart rate 78 bpm and MAP 74 mmHg.

Answer: A


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the latest bedside set shows MAP 74 mmHg and systolic BP 122 mmHg.
B. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the current values include heart rate 78 bpm and MAP 74 mmHg.
C. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the last snapshot shows MAP 74 mmHg with systolic BP 122 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. MAP recovered to 74 mmHg after a recent low of 60 mmHg below 65 mmHg; urine output most recently reached 50 mL after low intervals down to 25 mL; the most recent entries show heart rate 78 bpm and MAP 74 mmHg.

Answer: B


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. SpO2 came back to 85% after reaching 100%; diastolic BP recovered to 47 mmHg after a recent low of 45 mmHg below 50 mmHg; the current values include MAP 66 mmHg and systolic BP 124 mmHg.
B. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. Diastolic BP recovered to 47 mmHg after a recent low of 45 mmHg below 50 mmHg; heart rate returned to 50 bpm after reaching 74 bpm; the most recent entries show heart rate 50 bpm and MAP 66 mmHg.
C. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 came back to 85% after reaching 100%; diastolic BP recovered to 47 mmHg after a recent low of 45 mmHg below 50 mmHg; the latest bedside set shows MAP 66 mmHg and systolic BP 124 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Diastolic BP recovered to 47 mmHg after a recent low of 45 mmHg below 50 mmHg; heart rate returned to 50 bpm after reaching 74 bpm; the last snapshot shows heart rate 50 bpm with MAP 66 mmHg.

Answer: D


Question:
Based on the observed ICU data so far, choose the next monitoring step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. WBC ended at 11.5 K/uL after a recent low of 1 K/uL; creatinine was 2.4 mg/dL on the available recent reading; the current values include MAP 66 mmHg and heart rate 91 bpm.
B. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Respiratory rate varied between 17 breaths/min and 39 breaths/min, with the latest value 25 breaths/min; WBC ended at 11.5 K/uL after a recent low of 1 K/uL; the most recent entries show MAP 66 mmHg and systolic BP 97 mmHg.
C. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. WBC ended at 11.5 K/uL after a recent low of 1 K/uL; creatinine was 2.4 mg/dL on the available recent reading; the latest bedside set shows MAP 66 mmHg and heart rate 91 bpm.
D. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Respiratory rate varied between 17 breaths/min and 39 breaths/min, with the latest value 25 breaths/min; WBC ended at 11.5 K/uL after a recent low of 1 K/uL; the last snapshot shows MAP 66 mmHg with systolic BP 97 mmHg.

Answer: D


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. Respiratory rate varied between 17 breaths/min and 39 breaths/min, with the latest value 25 breaths/min; creatinine was 2.4 mg/dL on the available recent reading; the most recent entries show systolic BP 97 mmHg and respiratory rate 25 breaths/min.
B. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. MAP recovered to 66 mmHg after a recent low of 61 mmHg below 65 mmHg; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the latest bedside set shows heart rate 91 bpm and MAP 66 mmHg.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. MAP recovered to 66 mmHg after a recent low of 61 mmHg below 65 mmHg; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the current values include heart rate 91 bpm and MAP 66 mmHg.
D. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Respiratory rate varied between 17 breaths/min and 39 breaths/min, with the latest value 25 breaths/min; creatinine was 2.4 mg/dL on the available recent reading; the last snapshot shows systolic BP 97 mmHg with respiratory rate 25 breaths/min.

Answer: A


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Respiratory rate varied between 17 breaths/min and 39 breaths/min, with the latest value 25 breaths/min; WBC ended at 11.5 K/uL after a recent low of 1 K/uL; the current values include MAP 66 mmHg and systolic BP 97 mmHg.
B. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Respiratory rate varied between 17 breaths/min and 39 breaths/min, with the latest value 25 breaths/min; WBC ended at 11.5 K/uL after a recent low of 1 K/uL; the latest bedside set shows MAP 66 mmHg and systolic BP 97 mmHg.
C. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. MAP recovered to 66 mmHg after a recent low of 61 mmHg below 65 mmHg; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the most recent entries show heart rate 91 bpm and MAP 66 mmHg.
D. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. MAP recovered to 66 mmHg after a recent low of 61 mmHg below 65 mmHg; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the last snapshot shows heart rate 91 bpm with MAP 66 mmHg.

Answer: D


Question:
Given the current observations, what is the next monitoring step: escalation or continued standard monitoring?

Options:
A. Continue standard monitoring for now: The standard monitoring level is reasonable here. The last values do not show a pattern that calls for tighter checks. Respiratory rate varied between 15 breaths/min and 35 breaths/min, with the latest value 27 breaths/min; MAP recovered to 97 mmHg after a recent low of 62 mmHg below 65 mmHg; the last snapshot shows systolic BP 127 mmHg with respiratory rate 27 breaths/min.
B. Escalate monitoring now: More frequent checks are reasonable for now. Closer checks help confirm that the apparent recovery holds over the next interval. MAP recovered to 97 mmHg after a recent low of 62 mmHg below 65 mmHg; the latest MAP is 97 mmHg; the latest heart rate is 115 bpm.
C. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. Respiratory rate varied between 15 breaths/min and 35 breaths/min, with the latest value 27 breaths/min; MAP recovered to 97 mmHg after a recent low of 62 mmHg below 65 mmHg; the most recent entries show systolic BP 127 mmHg and respiratory rate 27 breaths/min.
D. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. MAP recovered to 97 mmHg after a recent low of 62 mmHg below 65 mmHg; the latest MAP is 97 mmHg; the latest heart rate is 115 bpm.

Answer: D


Question:
From the available ICU observations, decide whether to escalate monitoring now or continue standard monitoring.

Options:
A. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. SpO2 ended at 99% after dropping as low as 85%; the recent WBC reading was 15.2 K/uL; the last snapshot shows systolic BP 160 mmHg with respiratory rate 18 breaths/min.
B. Continue standard monitoring for now: The current cadence is reasonable for now. The latest values are stable, and the earlier abnormality is not paired with another current decline. Heart rate varied between 50 bpm and 106 bpm, with the latest value 105 bpm; the recent WBC reading was 15.2 K/uL; the latest bedside set shows heart rate 105 bpm and MAP 111 mmHg.
C. Escalate monitoring now: A higher monitoring cadence is reasonable for now. The recent window has more than one warning sign, so closer checks are reasonable. Heart rate varied between 50 bpm and 106 bpm, with the latest value 105 bpm; the recent WBC reading was 15.2 K/uL; the most recent entries show heart rate 105 bpm and MAP 111 mmHg.
D. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. SpO2 ended at 99% after dropping as low as 85%; the recent WBC reading was 15.2 K/uL; the current values include systolic BP 160 mmHg and respiratory rate 18 breaths/min.

Answer: D


Question:
Using the observations up to now, select the appropriate next step: escalate monitoring or continue standard monitoring.

Options:
A. Escalate monitoring now: Closer monitoring is reasonable for the next interval. The concern is that the latest numbers look better but still follow a recent threshold breach. SpO2 varied between 90% and 100%, with the latest value 94%; the recent WBC reading was 15 K/uL; the last snapshot shows heart rate 70 bpm with MAP 66 mmHg.
B. Continue standard monitoring for now: Routine bedside checks are reasonable for the next interval. The abnormal reading can be watched at the usual cadence while the bedside values remain steady. SpO2 varied between 90% and 100%, with the latest value 94%; the recent WBC reading was 15 K/uL; the most recent entries show heart rate 70 bpm and MAP 66 mmHg.
C. Escalate monitoring now: Closer bedside trending is reasonable for the next interval. The abnormal reading is paired with another signal from the same period. Urine output most recently reached 15 mL after low intervals down to 12 mL; creatinine was 2.8 mg/dL on the available recent reading; the latest bedside set shows MAP 66 mmHg and systolic BP 117 mmHg.
D. Continue standard monitoring for now: No change in monitoring cadence is reasonable for now. Routine monitoring is reasonable while the current bedside picture is not worsening. Urine output most recently reached 15 mL after low intervals down to 12 mL; creatinine was 2.8 mg/dL on the available recent reading; the current values include MAP 66 mmHg and systolic BP 117 mmHg.

Answer: A