Unfolding Case Study: Sepsis from Community-Acquired Pneumonia

1000: 78-year-old female brought to ED by daughter via EMS. Daughter reports client has been 'acting confused' and had a 'wet cough' for 3 days. Client lives in an assisted living facility. Client is lethargic but arousable to verbal stimuli. Skin is warm and flushed. Lung sounds reveal crackles in the right lower lobe. Capillary refill is 4 seconds. Client is incontinent of urine.