You arrive at a skilled nursing facility to care for an 89-y…

You arrive at a skilled nursing facility to care for an 89-year-old patient with an altered mental status. Staff at the facility state that the patient is being treated for a urinary tract infection, finished her antibiotics yesterday, and began acting differently this morning. The patient’s skin is hot to the touch. She has a rapid heart rate and a low blood pressure. You suspect this patient is experiencing: