Pаtient Prоfile: Nаme: Mrs. MH Age: 74 yeаrs Sex: Female Occupatiоn: Retired Medical Histоry: Hypertension Stroke Epilepsy (post-stroke) Osteoporosis Current Medications: Adcal D3 2 tablets once daily Alendronic acid 70mg once weekly Amlodipine 10mg once daily Atorvastatin 40mg once daily Clopidogrel 75mg once daily Lisinopril 40mg once daily Midazolam (buccal) when required Sodium valproate m/r (Epilim Chrono) 300mg twice a day No known drug allergies. Presenting Complaint: Mrs. MH is admitted into hospital following an urgent referral from her GP practice for suspected sepsis of urinary origin. History of Present Illness: Mrs. MH has been unwell for the past few days with a fever, and her symptoms have gradually worsened. Physical Examination: Temperature: 39.1°C Heart rate: 120 beats per minute Blood pressure: 90/57 mmHg Respiratory rate: 23 breaths per minute Oxygen saturation: 93% on room air Mental status: Confused and disoriented On physical examination, Mrs. MH appears acutely ill. Her skin is warm, and she feels sweaty to touch. She has dry mucous membranes, and a rapid and shallow breathing pattern. Diagnostic Findings: Blood Test Result Normal Range Serum sodium 140 mmol/L mmol/L (137–144) Serum potassium 4.2 mmol/L mmol/L (3.5–5.3) Serum urea 8.8 mmol/L mmol/L (2.5–7.0) Serum creatinine 110 micromol/L (baseline 105) micromol/L (60–110) Haemoglobin (Hb) 125 g/L g/L (120–155) Mean Corpuscular Volume (MCV) 90 fL 80-96 fL Red Cell Count 4.2 x 1012/L x 1012/L (3.5–5.0) White Cell Count 20 x 109/L x 109/L (3.0–10.0) Platelet Count 220 x 109/L x 109/L (150–400) C-Reactive Protein 190 mg/L (