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. Heart rate varied between 50 bpm and 100 bpm, with the latest value 90 bpm; SpO2 ended at 100% after dropping as low as 90%; the current values include systolic BP 108 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. Respiratory rate varied between 23 breaths/min and 30 breaths/min, with the latest value 25 breaths/min; SpO2 ended at 100% after dropping as low as 90%; the latest bedside set shows heart rate 90 bpm and MAP 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 23 breaths/min and 30 breaths/min, with the latest value 25 breaths/min; SpO2 ended at 100% after dropping as low as 90%; the most recent entries show heart rate 90 bpm and MAP 68 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. Heart rate varied between 50 bpm and 100 bpm, with the latest value 90 bpm; SpO2 ended at 100% after dropping as low as 90%; the last snapshot shows systolic BP 108 mmHg with respiratory rate 25 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. SpO2 ended at 96% after dropping as low as 85%; urine output most recently reached 15 mL after low intervals down to 15 mL; the last snapshot shows MAP 58 mmHg with heart rate 78 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. MAP recovered to 58 mmHg after a recent low of 57 mmHg below 65 mmHg; SpO2 ended at 96% after dropping as low as 85%; the latest bedside set shows MAP 58 mmHg and systolic BP 94 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 ended at 96% after dropping as low as 85%; urine output most recently reached 15 mL after low intervals down to 15 mL; the most recent entries show MAP 58 mmHg and heart rate 78 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. MAP recovered to 58 mmHg after a recent low of 57 mmHg below 65 mmHg; SpO2 ended at 96% after dropping as low as 85%; the current values include MAP 58 mmHg and systolic BP 94 mmHg.

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. MAP recovered to 58 mmHg after a recent low of 57 mmHg below 65 mmHg; SpO2 ended at 96% after dropping as low as 85%; the latest bedside set shows MAP 58 mmHg and systolic BP 94 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 ended at 96% after dropping as low as 85%; urine output most recently reached 15 mL after low intervals down to 15 mL; the current values include heart rate 78 bpm and MAP 58 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 15 mL after low intervals down to 15 mL; the most recent entries show heart rate 78 bpm and MAP 58 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 58 mmHg after a recent low of 57 mmHg below 65 mmHg; SpO2 ended at 96% after dropping as low as 85%; the last snapshot shows MAP 58 mmHg with systolic BP 94 mmHg.

Answer: C


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 came back to 87% after reaching 95%; creatinine was 1.9 mg/dL on the available recent reading; the latest bedside set shows heart rate 70 bpm and MAP 81 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 came back to 87% after reaching 95%; creatinine was 1.9 mg/dL on the available recent reading; the most recent entries show heart rate 70 bpm and MAP 81 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 came back to 87% after reaching 95%; creatinine was 1.9 mg/dL on the available recent reading; the last snapshot shows systolic BP 132 mmHg with respiratory rate 16 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 came back to 87% after reaching 95%; creatinine was 1.9 mg/dL on the available recent reading; the current values include systolic BP 132 mmHg and respiratory rate 16 breaths/min.

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. Respiratory rate varied between 6 breaths/min and 23 breaths/min, with the latest value 14 breaths/min; diastolic BP recovered to 73 mmHg after a recent low of 46 mmHg below 50 mmHg; the last snapshot shows MAP 87 mmHg with heart rate 75 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 varied between 74% and 100%, with the latest value 91%; respiratory rate varied between 6 breaths/min and 23 breaths/min, with the latest value 14 breaths/min; the latest bedside set shows MAP 87 mmHg and systolic BP 128 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 74% and 100%, with the latest value 91%; respiratory rate varied between 6 breaths/min and 23 breaths/min, with the latest value 14 breaths/min; the most recent entries show MAP 87 mmHg and systolic BP 128 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. Respiratory rate varied between 6 breaths/min and 23 breaths/min, with the latest value 14 breaths/min; diastolic BP recovered to 73 mmHg after a recent low of 46 mmHg below 50 mmHg; the current values include MAP 87 mmHg and heart rate 75 bpm.

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. Diastolic BP recovered to 73 mmHg after a recent low of 46 mmHg below 50 mmHg; MAP recovered to 87 mmHg after a recent low of 64 mmHg below 65 mmHg; the most recent entries show heart rate 75 bpm and MAP 87 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 74% and 100%, with the latest value 91%; diastolic BP recovered to 73 mmHg after a recent low of 46 mmHg below 50 mmHg; the current values include systolic BP 128 mmHg and respiratory rate 14 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. Diastolic BP recovered to 73 mmHg after a recent low of 46 mmHg below 50 mmHg; MAP recovered to 87 mmHg after a recent low of 64 mmHg below 65 mmHg; the latest bedside set shows heart rate 75 bpm and MAP 87 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 74% and 100%, with the latest value 91%; diastolic BP recovered to 73 mmHg after a recent low of 46 mmHg below 50 mmHg; the last snapshot shows systolic BP 128 mmHg with respiratory rate 14 breaths/min.

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. SpO2 varied between 74% and 100%, with the latest value 91%; respiratory rate varied between 6 breaths/min and 23 breaths/min, with the latest value 14 breaths/min; the latest bedside set shows MAP 87 mmHg and systolic BP 128 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 74% and 100%, with the latest value 91%; respiratory rate varied between 6 breaths/min and 23 breaths/min, with the latest value 14 breaths/min; the last snapshot shows MAP 87 mmHg with systolic BP 128 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. Diastolic BP recovered to 73 mmHg after a recent low of 46 mmHg below 50 mmHg; MAP recovered to 87 mmHg after a recent low of 64 mmHg below 65 mmHg; the most recent entries show heart rate 75 bpm and MAP 87 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 73 mmHg after a recent low of 46 mmHg below 50 mmHg; MAP recovered to 87 mmHg after a recent low of 64 mmHg below 65 mmHg; the current values include heart rate 75 bpm and MAP 87 mmHg.

Answer: C


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 18 breaths/min and 38 breaths/min, with the latest value 19 breaths/min; MAP recovered to 65 mmHg after a recent low of 54 mmHg below 65 mmHg; the most recent entries show MAP 65 mmHg and systolic BP 99 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 65 mmHg after a recent low of 54 mmHg below 65 mmHg; systolic BP recovered to 99 mmHg after a recent low of 78 mmHg below 90 mmHg; the last snapshot shows MAP 65 mmHg with heart rate 100 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. Respiratory rate varied between 18 breaths/min and 38 breaths/min, with the latest value 19 breaths/min; MAP recovered to 65 mmHg after a recent low of 54 mmHg below 65 mmHg; the latest bedside set shows MAP 65 mmHg and systolic BP 99 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 65 mmHg after a recent low of 54 mmHg below 65 mmHg; systolic BP recovered to 99 mmHg after a recent low of 78 mmHg below 90 mmHg; the current values include MAP 65 mmHg and heart rate 100 bpm.

Answer: C


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 18 breaths/min and 38 breaths/min, with the latest value 19 breaths/min; systolic BP recovered to 99 mmHg after a recent low of 78 mmHg below 90 mmHg; the last snapshot shows systolic BP 99 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. Systolic BP recovered to 99 mmHg after a recent low of 78 mmHg below 90 mmHg; WBC returned to 19.8 K/uL after reaching 23 K/uL; the latest bedside set shows heart rate 100 bpm and MAP 65 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 99 mmHg after a recent low of 78 mmHg below 90 mmHg; WBC returned to 19.8 K/uL after reaching 23 K/uL; the most recent entries show heart rate 100 bpm and MAP 65 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. Respiratory rate varied between 18 breaths/min and 38 breaths/min, with the latest value 19 breaths/min; systolic BP recovered to 99 mmHg after a recent low of 78 mmHg below 90 mmHg; the current values include systolic BP 99 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. 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 85 mmHg after a recent low of 85 mmHg below 90 mmHg; heart rate returned to 50 bpm after reaching 71 bpm; the most recent entries show heart rate 50 bpm and MAP 88 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 88% and 96%, with the latest value 94%; systolic BP recovered to 85 mmHg after a recent low of 85 mmHg below 90 mmHg; the last snapshot shows MAP 88 mmHg with systolic BP 85 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 varied between 88% and 96%, with the latest value 94%; systolic BP recovered to 85 mmHg after a recent low of 85 mmHg below 90 mmHg; the latest bedside set shows MAP 88 mmHg and systolic BP 85 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. Systolic BP recovered to 85 mmHg after a recent low of 85 mmHg below 90 mmHg; heart rate returned to 50 bpm after reaching 71 bpm; the current values include heart rate 50 bpm and MAP 88 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. Respiratory rate ended at 35 breaths/min after a recent low of 14 breaths/min; the latest systolic BP is 131 mmHg; the latest respiratory rate is 35 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. Respiratory rate ended at 35 breaths/min after a recent low of 14 breaths/min; the latest systolic BP is 131 mmHg; the latest respiratory rate is 35 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. Respiratory rate ended at 35 breaths/min after a recent low of 14 breaths/min; the latest MAP is 79 mmHg; the latest heart rate is 81 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. Respiratory rate ended at 35 breaths/min after a recent low of 14 breaths/min; the latest MAP is 79 mmHg; the latest heart rate is 81 bpm.

Answer: C


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 ended at 35 breaths/min after a recent low of 14 breaths/min; the latest systolic BP is 131 mmHg; the latest respiratory rate is 35 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. Respiratory rate ended at 35 breaths/min after a recent low of 14 breaths/min; the latest heart rate is 81 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. Respiratory rate ended at 35 breaths/min after a recent low of 14 breaths/min; the latest heart rate is 81 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. Respiratory rate ended at 35 breaths/min after a recent low of 14 breaths/min; the latest systolic BP is 131 mmHg; the latest respiratory rate is 35 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. Respiratory rate ended at 35 breaths/min after a recent low of 14 breaths/min; the latest MAP is 79 mmHg; the latest systolic BP is 131 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 ended at 35 breaths/min after a recent low of 14 breaths/min; the latest heart rate is 81 bpm; the latest MAP is 79 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 ended at 35 breaths/min after a recent low of 14 breaths/min; the latest heart rate is 81 bpm; the latest MAP is 79 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. Respiratory rate ended at 35 breaths/min after a recent low of 14 breaths/min; the latest MAP is 79 mmHg; the latest systolic BP is 131 mmHg.

Answer: C


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. The recent WBC reading was 15.3 K/uL; the latest MAP is 75 mmHg; the latest systolic BP is 116 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. The recent WBC reading was 15.3 K/uL; the latest MAP is 75 mmHg; the latest heart rate is 74 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. The recent WBC reading was 15.3 K/uL; the latest MAP is 75 mmHg; the latest heart rate is 74 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 15.3 K/uL; the latest MAP is 75 mmHg; the latest systolic BP is 116 mmHg.

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. The recent WBC reading was 15.3 K/uL; the latest heart rate is 74 bpm; the latest MAP is 75 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. The recent WBC reading was 15.3 K/uL; the latest systolic BP is 116 mmHg; the latest respiratory rate is 23 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. The recent WBC reading was 15.3 K/uL; the latest heart rate is 74 bpm; the latest MAP is 75 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. The recent WBC reading was 15.3 K/uL; the latest systolic BP is 116 mmHg; the latest respiratory rate is 23 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. 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 85% and 98%, with the latest value 97%; the latest MAP is 109 mmHg; the latest systolic BP is 141 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 85% and 98%, with the latest value 97%; the latest MAP is 109 mmHg; the latest heart rate is 95 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. SpO2 varied between 85% and 98%, with the latest value 97%; the latest MAP is 109 mmHg; the latest systolic BP is 141 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. SpO2 varied between 85% and 98%, with the latest value 97%; the latest MAP is 109 mmHg; the latest heart rate is 95 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 85% and 98%, with the latest value 97%; the latest MAP is 109 mmHg; the latest heart rate is 95 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 85% and 98%, with the latest value 97%; the latest MAP is 109 mmHg; the latest heart rate is 95 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 98%, with the latest value 97%; the latest systolic BP is 141 mmHg; the latest respiratory rate is 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 85% and 98%, with the latest value 97%; the latest systolic BP is 141 mmHg; the latest respiratory rate is 18 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. SpO2 varied between 85% and 98%, with the latest value 97%; the latest MAP is 109 mmHg; the latest systolic BP is 141 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 varied between 85% and 98%, with the latest value 97%; the latest heart rate is 95 bpm; the latest MAP is 109 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. SpO2 varied between 85% and 98%, with the latest value 97%; the latest heart rate is 95 bpm; the latest MAP is 109 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. SpO2 varied between 85% and 98%, with the latest value 97%; the latest MAP is 109 mmHg; the latest systolic BP is 141 mmHg.

Answer: C


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 70 mmHg after a recent low of 58 mmHg below 65 mmHg; respiratory rate returned to 25 breaths/min after reaching 29 breaths/min; the current values include systolic BP 126 mmHg and respiratory rate 25 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. MAP recovered to 70 mmHg after a recent low of 58 mmHg below 65 mmHg; respiratory rate returned to 25 breaths/min after reaching 29 breaths/min; the most recent entries show systolic BP 126 mmHg and respiratory rate 25 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. Diastolic BP recovered to 52 mmHg after a recent low of 44 mmHg below 50 mmHg; respiratory rate returned to 25 breaths/min after reaching 29 breaths/min; the latest bedside set shows MAP 70 mmHg and heart rate 97 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. Diastolic BP recovered to 52 mmHg after a recent low of 44 mmHg below 50 mmHg; respiratory rate returned to 25 breaths/min after reaching 29 breaths/min; the last snapshot shows MAP 70 mmHg with heart rate 97 bpm.

Answer: D


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 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the most recent entries show systolic BP 117 mmHg and respiratory rate 13 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. SpO2 ended at 100% after dropping as low as 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the current values include systolic BP 117 mmHg and respiratory rate 13 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. Heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the latest MAP is 74 mmHg; the latest heart rate is 56 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. Heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the latest MAP is 74 mmHg; the latest heart rate is 56 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 100% after dropping as low as 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the most recent entries show heart rate 56 bpm and MAP 74 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 100% after dropping as low as 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the current values include systolic BP 117 mmHg and respiratory rate 13 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 ended at 100% after dropping as low as 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the last snapshot shows systolic BP 117 mmHg with respiratory rate 13 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 100% after dropping as low as 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the latest bedside set shows heart rate 56 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. 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 100% after dropping as low as 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the current values include heart rate 56 bpm and MAP 74 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 ended at 100% after dropping as low as 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the latest bedside set shows MAP 74 mmHg and systolic BP 117 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 100% after dropping as low as 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the last snapshot shows MAP 74 mmHg with 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. SpO2 ended at 100% after dropping as low as 88%; heart rate varied between 47 bpm and 60 bpm, with the latest value 56 bpm; the most recent entries show heart rate 56 bpm and MAP 74 mmHg.

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. No strong recent threshold breach is recorded in the available variables; the latest systolic BP is 111 mmHg; the latest respiratory rate is 15 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. No strong recent threshold breach is recorded in the available variables; the latest heart rate is 86 bpm; the latest MAP is 67 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. No strong recent threshold breach is recorded in the available variables; the latest heart rate is 86 bpm; the latest MAP is 67 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. No strong recent threshold breach is recorded in the available variables; the latest systolic BP is 111 mmHg; the latest respiratory rate is 15 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. Lactate was 2.1 mmol/L on the available recent reading; the recent WBC reading was 16.6 K/uL; the last snapshot shows MAP 79 mmHg with heart rate 97 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. Urine output most recently reached 175 mL after low intervals down to 10 mL; lactate was 2.1 mmol/L on the available recent reading; the latest bedside set shows MAP 79 mmHg and systolic BP 107 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. Urine output most recently reached 175 mL after low intervals down to 10 mL; lactate was 2.1 mmol/L on the available recent reading; the most recent entries show MAP 79 mmHg and systolic BP 107 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. Lactate was 2.1 mmol/L on the available recent reading; the recent WBC reading was 16.6 K/uL; the current values include MAP 79 mmHg and heart rate 97 bpm.

Answer: C


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 175 mL after low intervals down to 10 mL; lactate was 2.1 mmol/L on the available recent reading; the latest bedside set shows MAP 79 mmHg and systolic BP 107 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 175 mL after low intervals down to 10 mL; lactate was 2.1 mmol/L on the available recent reading; the last snapshot shows MAP 79 mmHg with systolic BP 107 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. Lactate was 2.1 mmol/L on the available recent reading; the recent WBC reading was 16.6 K/uL; the current values include heart rate 97 bpm and MAP 79 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. Lactate was 2.1 mmol/L on the available recent reading; the recent WBC reading was 16.6 K/uL; the most recent entries show heart rate 97 bpm and MAP 79 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. Heart rate ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the current values include systolic BP 97 mmHg and respiratory rate 13 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. Systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the latest MAP is 73 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. Systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the latest MAP is 73 mmHg; the latest heart rate is 83 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. Heart rate ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the most recent entries show systolic BP 97 mmHg and respiratory rate 13 breaths/min.

Answer: C


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 ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the last snapshot shows systolic BP 97 mmHg with respiratory rate 13 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. Heart rate ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the current values include systolic BP 97 mmHg and respiratory rate 13 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. Heart rate ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the latest bedside set shows heart rate 83 bpm and MAP 73 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. Heart rate ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the most recent entries show heart rate 83 bpm and MAP 73 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. Heart rate ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the latest bedside set shows MAP 73 mmHg and systolic BP 97 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. Heart rate ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the most recent entries show heart rate 83 bpm and MAP 73 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. Heart rate ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the current values include heart rate 83 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. Heart rate ended at 83 bpm after a recent low of 50 bpm; systolic BP recovered to 97 mmHg after a recent low of 97 mmHg below 90 mmHg; the last snapshot shows MAP 73 mmHg with systolic BP 97 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. MAP recovered to 81 mmHg after a recent low of 39 mmHg below 65 mmHg; the latest MAP is 81 mmHg; the latest systolic BP is 138 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. MAP recovered to 81 mmHg after a recent low of 39 mmHg below 65 mmHg; the latest MAP is 81 mmHg; the latest heart rate is 59 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 81 mmHg after a recent low of 39 mmHg below 65 mmHg; the latest MAP is 81 mmHg; the latest heart rate is 59 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. MAP recovered to 81 mmHg after a recent low of 39 mmHg below 65 mmHg; the latest MAP is 81 mmHg; the latest systolic BP is 138 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. MAP recovered to 81 mmHg after a recent low of 39 mmHg below 65 mmHg; the latest systolic BP is 138 mmHg; the latest respiratory rate is 14 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 81 mmHg after a recent low of 39 mmHg below 65 mmHg; the latest systolic BP is 138 mmHg; the latest respiratory rate is 14 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 81 mmHg after a recent low of 39 mmHg below 65 mmHg; the latest heart rate is 59 bpm; the latest MAP is 81 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. MAP recovered to 81 mmHg after a recent low of 39 mmHg below 65 mmHg; the latest heart rate is 59 bpm; the latest MAP is 81 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 51 mmHg after a recent low of 46 mmHg below 65 mmHg; creatinine ended at 2 mg/dL after dropping as low as 0.7 mg/dL; the last snapshot shows MAP 51 mmHg with systolic BP 99 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 51 mmHg after a recent low of 46 mmHg below 65 mmHg; creatinine ended at 2 mg/dL after dropping as low as 0.7 mg/dL; the latest bedside set shows MAP 51 mmHg and systolic BP 99 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 ended at 26 breaths/min after a recent low of 18 breaths/min; systolic BP recovered to 99 mmHg after a recent low of 92 mmHg below 90 mmHg; the most recent entries show heart rate 73 bpm and MAP 51 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. Respiratory rate ended at 26 breaths/min after a recent low of 18 breaths/min; systolic BP recovered to 99 mmHg after a recent low of 92 mmHg below 90 mmHg; the current values include heart rate 73 bpm and MAP 51 mmHg.

Answer: C


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. Respiratory rate ended at 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the most recent entries show systolic BP 139 mmHg and respiratory rate 15 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. Respiratory rate ended at 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the current values include systolic BP 139 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. The recent WBC reading was 19 K/uL; the latest MAP is 92 mmHg; the latest heart rate is 90 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. The recent WBC reading was 19 K/uL; the latest MAP is 92 mmHg; the latest heart rate is 90 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. Respiratory rate ended at 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the latest bedside set shows systolic BP 139 mmHg and respiratory rate 15 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. Respiratory rate ended at 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the most recent entries show heart rate 90 bpm and MAP 92 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 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the current values include systolic BP 139 mmHg and 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. Respiratory rate ended at 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the last snapshot shows heart rate 90 bpm with MAP 92 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. Respiratory rate ended at 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the most recent entries show heart rate 90 bpm and MAP 92 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 ended at 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the latest bedside set shows MAP 92 mmHg and systolic BP 139 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 ended at 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the current values include heart rate 90 bpm and MAP 92 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 15 breaths/min after a recent low of 10 breaths/min; the recent WBC reading was 19 K/uL; the last snapshot shows MAP 92 mmHg with systolic BP 139 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. The recent WBC reading was 3.5 K/uL; the latest MAP is 113 mmHg; the latest heart rate is 75 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. The recent WBC reading was 3.5 K/uL; the latest MAP is 113 mmHg; the latest systolic BP is 143 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 3.5 K/uL; the latest MAP is 113 mmHg; the latest systolic BP is 143 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. The recent WBC reading was 3.5 K/uL; the latest MAP is 113 mmHg; the latest heart rate is 75 bpm.

Answer: C


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 3.5 K/uL; the latest MAP is 113 mmHg; the latest heart rate is 75 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 3.5 K/uL; the latest systolic BP is 143 mmHg; the latest respiratory rate is 18 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. The recent WBC reading was 3.5 K/uL; the latest systolic BP is 143 mmHg; the latest respiratory rate is 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. The recent WBC reading was 3.5 K/uL; the latest MAP is 113 mmHg; the latest heart rate is 75 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. The recent WBC reading was 3.3 K/uL; the latest MAP is 78 mmHg; the latest heart rate is 72 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. The recent WBC reading was 3.3 K/uL; the latest systolic BP is 110 mmHg; the latest respiratory rate is 21 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. The recent WBC reading was 3.3 K/uL; the latest systolic BP is 110 mmHg; the latest respiratory rate is 21 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 3.3 K/uL; the latest MAP is 78 mmHg; the latest heart rate is 72 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. The recent WBC reading was 3.3 K/uL; the latest heart rate is 72 bpm; the latest MAP is 78 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. The recent WBC reading was 3.3 K/uL; the latest systolic BP is 110 mmHg; the latest respiratory rate is 21 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. The recent WBC reading was 3.3 K/uL; the latest heart rate is 72 bpm; the latest MAP is 78 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. The recent WBC reading was 3.3 K/uL; the latest systolic BP is 110 mmHg; the latest respiratory rate is 21 breaths/min.

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. The recent WBC reading was 18.6 K/uL; the latest MAP is 89 mmHg; the latest heart rate is 98 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. MAP recovered to 89 mmHg after a recent low of 61 mmHg below 65 mmHg; the recent WBC reading was 18.6 K/uL; the most recent entries show systolic BP 121 mmHg and respiratory rate 16 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. The recent WBC reading was 18.6 K/uL; the latest MAP is 89 mmHg; the latest heart rate is 98 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. MAP recovered to 89 mmHg after a recent low of 61 mmHg below 65 mmHg; the recent WBC reading was 18.6 K/uL; the current values include systolic BP 121 mmHg and respiratory rate 16 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. Respiratory rate varied between 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the latest bedside set shows MAP 94 mmHg and systolic BP 125 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. The recent WBC reading was 16.6 K/uL; the latest MAP is 94 mmHg; the latest heart rate is 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. Respiratory rate varied between 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the most recent entries show MAP 94 mmHg and systolic BP 125 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. The recent WBC reading was 16.6 K/uL; the latest MAP is 94 mmHg; the latest heart rate is 96 bpm.

Answer: C


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 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the current values include systolic BP 125 mmHg and respiratory rate 33 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. The recent WBC reading was 16.6 K/uL; the latest MAP is 94 mmHg; the latest heart rate is 96 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 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the latest bedside set shows systolic BP 125 mmHg and respiratory rate 33 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 16.6 K/uL; the latest MAP is 94 mmHg; the latest heart rate is 96 bpm.

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. Respiratory rate varied between 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the latest bedside set shows heart rate 96 bpm and MAP 94 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. Respiratory rate varied between 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the current values include systolic BP 125 mmHg and respiratory rate 33 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. Respiratory rate varied between 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the last snapshot shows systolic BP 125 mmHg with respiratory rate 33 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 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the most recent entries show heart rate 96 bpm and MAP 94 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. Respiratory rate varied between 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the latest bedside set shows MAP 94 mmHg and systolic BP 125 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 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the last snapshot shows MAP 94 mmHg with systolic BP 125 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 varied between 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the most recent entries show heart rate 96 bpm and MAP 94 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 22 breaths/min and 35 breaths/min, with the latest value 33 breaths/min; the recent WBC reading was 16.6 K/uL; the current values include heart rate 96 bpm and MAP 94 mmHg.

Answer: C


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. Diastolic BP recovered to 26 mmHg after a recent low of 23 mmHg below 50 mmHg; SpO2 ended at 98% after dropping as low as 85%; the last snapshot shows MAP 45 mmHg with heart rate 92 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. MAP recovered to 45 mmHg after a recent low of 38 mmHg below 65 mmHg; SpO2 ended at 98% after dropping as low as 85%; the current values include systolic BP 103 mmHg and respiratory rate 29 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 45 mmHg after a recent low of 38 mmHg below 65 mmHg; SpO2 ended at 98% after dropping as low as 85%; the most recent entries show systolic BP 103 mmHg and respiratory rate 29 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. Diastolic BP recovered to 26 mmHg after a recent low of 23 mmHg below 50 mmHg; SpO2 ended at 98% after dropping as low as 85%; the latest bedside set shows MAP 45 mmHg and heart rate 92 bpm.

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 45 mmHg after a recent low of 38 mmHg below 65 mmHg; diastolic BP recovered to 26 mmHg after a recent low of 23 mmHg below 50 mmHg; the latest bedside set shows MAP 45 mmHg and systolic BP 103 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. Heart rate ended at 92 bpm after a recent low of 50 bpm; respiratory rate ended at 29 breaths/min after a recent low of 20 breaths/min; the current values include heart rate 92 bpm and MAP 45 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. Heart rate ended at 92 bpm after a recent low of 50 bpm; respiratory rate ended at 29 breaths/min after a recent low of 20 breaths/min; the most recent entries show heart rate 92 bpm and MAP 45 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 45 mmHg after a recent low of 38 mmHg below 65 mmHg; diastolic BP recovered to 26 mmHg after a recent low of 23 mmHg below 50 mmHg; the last snapshot shows MAP 45 mmHg with systolic BP 103 mmHg.

Answer: C


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. Diastolic BP recovered to 51 mmHg after a recent low of 40 mmHg below 50 mmHg; MAP recovered to 73 mmHg after a recent low of 63 mmHg below 65 mmHg; the current values include systolic BP 130 mmHg and respiratory rate 22 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. MAP recovered to 73 mmHg after a recent low of 63 mmHg below 65 mmHg; the latest MAP is 73 mmHg; the latest heart rate is 89 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 73 mmHg after a recent low of 63 mmHg below 65 mmHg; the latest MAP is 73 mmHg; the latest heart rate is 89 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. Diastolic BP recovered to 51 mmHg after a recent low of 40 mmHg below 50 mmHg; MAP recovered to 73 mmHg after a recent low of 63 mmHg below 65 mmHg; the most recent entries show systolic BP 130 mmHg and respiratory rate 22 breaths/min.

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 51 mmHg after a recent low of 40 mmHg below 50 mmHg; MAP recovered to 73 mmHg after a recent low of 63 mmHg below 65 mmHg; the current values include heart rate 89 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. Diastolic BP recovered to 51 mmHg after a recent low of 40 mmHg below 50 mmHg; MAP recovered to 73 mmHg after a recent low of 63 mmHg below 65 mmHg; the latest bedside set shows MAP 73 mmHg and systolic BP 130 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. Diastolic BP recovered to 51 mmHg after a recent low of 40 mmHg below 50 mmHg; MAP recovered to 73 mmHg after a recent low of 63 mmHg below 65 mmHg; the last snapshot shows MAP 73 mmHg with systolic BP 130 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 51 mmHg after a recent low of 40 mmHg below 50 mmHg; MAP recovered to 73 mmHg after a recent low of 63 mmHg below 65 mmHg; the most recent entries show heart rate 89 bpm and MAP 73 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. MAP recovered to 67 mmHg after a recent low of 61 mmHg below 65 mmHg; WBC varied between 1 K/uL and 7.8 K/uL, with the latest value 7.3 K/uL; the most recent entries show systolic BP 107 mmHg and respiratory rate 21 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. SpO2 varied between 85% and 100%, with the latest value 95%; WBC varied between 1 K/uL and 7.8 K/uL, with the latest value 7.3 K/uL; the latest bedside set shows MAP 67 mmHg and heart rate 85 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 67 mmHg after a recent low of 61 mmHg below 65 mmHg; WBC varied between 1 K/uL and 7.8 K/uL, with the latest value 7.3 K/uL; the current values include systolic BP 107 mmHg and respiratory rate 21 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 85% and 100%, with the latest value 95%; WBC varied between 1 K/uL and 7.8 K/uL, with the latest value 7.3 K/uL; the last snapshot shows MAP 67 mmHg with heart rate 85 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. Creatinine was 3.5 mg/dL on the available recent reading; diastolic BP recovered to 46 mmHg after a recent low of 44 mmHg below 50 mmHg; the most recent entries show systolic BP 117 mmHg and respiratory rate 20 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 15 mL after low intervals down to 15 mL; diastolic BP recovered to 46 mmHg after a recent low of 44 mmHg below 50 mmHg; the latest bedside set shows MAP 63 mmHg and heart rate 67 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. Creatinine was 3.5 mg/dL on the available recent reading; diastolic BP recovered to 46 mmHg after a recent low of 44 mmHg below 50 mmHg; the current values include systolic BP 117 mmHg and respiratory rate 20 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 15 mL after low intervals down to 15 mL; diastolic BP recovered to 46 mmHg after a recent low of 44 mmHg below 50 mmHg; the last snapshot shows MAP 63 mmHg with heart rate 67 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. Creatinine was 3.5 mg/dL on the available recent reading; diastolic BP recovered to 46 mmHg after a recent low of 44 mmHg below 50 mmHg; the last snapshot shows systolic BP 117 mmHg with respiratory rate 20 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. Diastolic BP recovered to 46 mmHg after a recent low of 44 mmHg below 50 mmHg; MAP recovered to 63 mmHg after a recent low of 63 mmHg below 65 mmHg; the latest bedside set shows heart rate 67 bpm and MAP 63 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. Diastolic BP recovered to 46 mmHg after a recent low of 44 mmHg below 50 mmHg; MAP recovered to 63 mmHg after a recent low of 63 mmHg below 65 mmHg; the most recent entries show heart rate 67 bpm and MAP 63 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. Creatinine was 3.5 mg/dL on the available recent reading; diastolic BP recovered to 46 mmHg after a recent low of 44 mmHg below 50 mmHg; the current values include systolic BP 117 mmHg and respiratory rate 20 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. Diastolic BP recovered to 46 mmHg after a recent low of 44 mmHg below 50 mmHg; MAP recovered to 63 mmHg after a recent low of 63 mmHg below 65 mmHg; the current values include heart rate 67 bpm and MAP 63 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 46 mmHg after a recent low of 44 mmHg below 50 mmHg; MAP recovered to 63 mmHg after a recent low of 63 mmHg below 65 mmHg; the most recent entries show heart rate 67 bpm and MAP 63 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. Creatinine was 3.5 mg/dL on the available recent reading; urine output most recently reached 15 mL after low intervals down to 15 mL; the latest bedside set shows MAP 63 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. Creatinine was 3.5 mg/dL on the available recent reading; urine output most recently reached 15 mL after low intervals down to 15 mL; the last snapshot shows MAP 63 mmHg with systolic BP 117 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. The recent WBC reading was 15.6 K/uL; the latest MAP is 86 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. The recent WBC reading was 15.6 K/uL; the latest MAP is 86 mmHg; the latest heart rate is 84 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. The recent WBC reading was 15.6 K/uL; the latest MAP is 86 mmHg; the latest systolic BP is 120 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. The recent WBC reading was 15.6 K/uL; the latest MAP is 86 mmHg; the latest heart rate is 84 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 15.6 K/uL; the latest systolic BP is 120 mmHg; the latest respiratory rate is 14 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. The recent WBC reading was 15.6 K/uL; the latest MAP is 86 mmHg; the latest heart rate is 84 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. The recent WBC reading was 15.6 K/uL; the latest systolic BP is 120 mmHg; the latest respiratory rate is 14 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. The recent WBC reading was 15.6 K/uL; the latest MAP is 86 mmHg; the latest heart rate is 84 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. The recent WBC reading was 15.6 K/uL; the latest heart rate is 84 bpm; the latest MAP is 86 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. The recent WBC reading was 15.6 K/uL; the latest systolic BP is 120 mmHg; the latest respiratory rate is 14 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. The recent WBC reading was 15.6 K/uL; the latest heart rate is 84 bpm; the latest MAP is 86 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. The recent WBC reading was 15.6 K/uL; the latest systolic BP is 120 mmHg; the latest respiratory rate is 14 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. The recent WBC reading was 15.6 K/uL; the latest heart rate is 84 bpm; the latest MAP is 86 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 15.6 K/uL; the latest heart rate is 84 bpm; the latest MAP is 86 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. The recent WBC reading was 15.6 K/uL; the latest MAP is 86 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. The recent WBC reading was 15.6 K/uL; the latest MAP is 86 mmHg; the latest systolic BP is 120 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. SpO2 ended at 100% after dropping as low as 85%; heart rate ended at 72 bpm after a recent low of 50 bpm; the latest bedside set shows MAP 72 mmHg and systolic BP 125 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. Heart rate ended at 72 bpm after a recent low of 50 bpm; WBC returned to 12.3 K/uL after reaching 17 K/uL; the current values include MAP 72 mmHg and heart rate 72 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. Heart rate ended at 72 bpm after a recent low of 50 bpm; WBC returned to 12.3 K/uL after reaching 17 K/uL; the last snapshot shows MAP 72 mmHg with heart rate 72 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 100% after dropping as low as 85%; heart rate ended at 72 bpm after a recent low of 50 bpm; the most recent entries show MAP 72 mmHg and systolic BP 125 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. Heart rate ended at 72 bpm after a recent low of 50 bpm; WBC returned to 12.3 K/uL after reaching 17 K/uL; the most recent entries show heart rate 72 bpm and MAP 72 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 100% after dropping as low as 85%; heart rate ended at 72 bpm after a recent low of 50 bpm; the latest bedside set shows MAP 72 mmHg and systolic BP 125 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. Heart rate ended at 72 bpm after a recent low of 50 bpm; WBC returned to 12.3 K/uL after reaching 17 K/uL; the current values include heart rate 72 bpm and MAP 72 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. SpO2 ended at 100% after dropping as low as 85%; heart rate ended at 72 bpm after a recent low of 50 bpm; the last snapshot shows MAP 72 mmHg with systolic BP 125 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. The recent WBC reading was 13.2 K/uL; the latest MAP is 81 mmHg; the latest heart rate is 75 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 13.2 K/uL; the latest MAP is 81 mmHg; the latest heart rate is 75 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. The recent WBC reading was 13.2 K/uL; the latest MAP is 81 mmHg; the latest systolic BP is 144 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. The recent WBC reading was 13.2 K/uL; the latest MAP is 81 mmHg; the latest systolic BP is 144 mmHg.

Answer: C


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. The recent WBC reading was 13.2 K/uL; the latest systolic BP is 144 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. The recent WBC reading was 13.2 K/uL; the latest systolic BP is 144 mmHg; the latest respiratory rate is 21 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. The recent WBC reading was 13.2 K/uL; the latest heart rate is 75 bpm; the latest MAP is 81 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. The recent WBC reading was 13.2 K/uL; the latest heart rate is 75 bpm; the latest MAP is 81 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. The recent WBC reading was 13.2 K/uL; the latest heart rate is 75 bpm; the latest MAP is 81 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. The recent WBC reading was 13.2 K/uL; the latest MAP is 81 mmHg; the latest systolic BP is 144 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 13.2 K/uL; the latest MAP is 81 mmHg; the latest systolic BP is 144 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 13.2 K/uL; the latest heart rate is 75 bpm; the latest MAP is 81 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. SpO2 came back to 88% after reaching 95%; respiratory rate varied between 21 breaths/min and 28 breaths/min, with the latest value 27 breaths/min; the most recent entries show systolic BP 197 mmHg and 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. Heart rate returned to 50 bpm after reaching 74 bpm; respiratory rate varied between 21 breaths/min and 28 breaths/min, with the latest value 27 breaths/min; the latest bedside set shows MAP 101 mmHg and heart rate 50 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 came back to 88% after reaching 95%; respiratory rate varied between 21 breaths/min and 28 breaths/min, with the latest value 27 breaths/min; the current values include systolic BP 197 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. Heart rate returned to 50 bpm after reaching 74 bpm; respiratory rate varied between 21 breaths/min and 28 breaths/min, with the latest value 27 breaths/min; the last snapshot shows MAP 101 mmHg with heart rate 50 bpm.

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. SpO2 came back to 88% after reaching 95%; heart rate returned to 50 bpm after reaching 74 bpm; the latest bedside set shows MAP 101 mmHg and systolic BP 197 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 came back to 88% after reaching 95%; heart rate returned to 50 bpm after reaching 74 bpm; the last snapshot shows MAP 101 mmHg with systolic BP 197 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. Heart rate returned to 50 bpm after reaching 74 bpm; respiratory rate varied between 21 breaths/min and 28 breaths/min, with the latest value 27 breaths/min; the current values include heart rate 50 bpm and MAP 101 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. Heart rate returned to 50 bpm after reaching 74 bpm; respiratory rate varied between 21 breaths/min and 28 breaths/min, with the latest value 27 breaths/min; the most recent entries show heart rate 50 bpm and MAP 101 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. Diastolic BP recovered to 56 mmHg after a recent low of 43 mmHg below 50 mmHg; heart rate ended at 76 bpm after a recent low of 50 bpm; the last snapshot shows MAP 78 mmHg with heart rate 76 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. Diastolic BP recovered to 56 mmHg after a recent low of 43 mmHg below 50 mmHg; heart rate ended at 76 bpm after a recent low of 50 bpm; the current values include MAP 78 mmHg and heart rate 76 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. SpO2 varied between 85% and 96%, with the latest value 93%; diastolic BP recovered to 56 mmHg after a recent low of 43 mmHg below 50 mmHg; the latest bedside set shows MAP 78 mmHg and systolic BP 134 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. SpO2 varied between 85% and 96%, with the latest value 93%; diastolic BP recovered to 56 mmHg after a recent low of 43 mmHg below 50 mmHg; the most recent entries show MAP 78 mmHg and systolic BP 134 mmHg.

Answer: C


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 varied between 85% and 96%, with the latest value 93%; heart rate ended at 76 bpm after a recent low of 50 bpm; the current values include systolic BP 134 mmHg and respiratory rate 17 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. Heart rate ended at 76 bpm after a recent low of 50 bpm; MAP recovered to 78 mmHg after a recent low of 64 mmHg below 65 mmHg; the most recent entries show heart rate 76 bpm and MAP 78 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. Heart rate ended at 76 bpm after a recent low of 50 bpm; MAP recovered to 78 mmHg after a recent low of 64 mmHg below 65 mmHg; the latest bedside set shows heart rate 76 bpm and MAP 78 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 96%, with the latest value 93%; heart rate ended at 76 bpm after a recent low of 50 bpm; the last snapshot shows systolic BP 134 mmHg with respiratory rate 17 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. Systolic BP recovered to 50 mmHg after a recent low of 50 mmHg below 90 mmHg; diastolic BP recovered to 32 mmHg after a recent low of 32 mmHg below 50 mmHg; the last snapshot shows MAP 37 mmHg with heart rate 50 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 37 mmHg after a recent low of 37 mmHg below 65 mmHg; systolic BP recovered to 50 mmHg after a recent low of 50 mmHg below 90 mmHg; the most recent entries show MAP 37 mmHg and systolic BP 50 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. Systolic BP recovered to 50 mmHg after a recent low of 50 mmHg below 90 mmHg; diastolic BP recovered to 32 mmHg after a recent low of 32 mmHg below 50 mmHg; the current values include MAP 37 mmHg and heart rate 50 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 37 mmHg after a recent low of 37 mmHg below 65 mmHg; systolic BP recovered to 50 mmHg after a recent low of 50 mmHg below 90 mmHg; the latest bedside set shows MAP 37 mmHg and systolic BP 50 mmHg.

Answer: B