Just prior to being discharged from the hospital patient aged 55, admitted 3 days prior for renal colic and hydronephrosis, began to display abnormal vital signs. Respiratory rate: 25 breaths/minute Blood pressure: 84 mm Hg/46 mm Hg Temperature: 101°F Heart rate: 130 beats/minute, with a regular rhythm Oxygen saturation: 80% on ambient air The patient is confused and answers slowly but correctly. A rapid response is called to initiate goal-directed treatment.

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