Cаse Study CоntinuаtiоnHаlpert, JimDay 3 - 72 hоurs after fluid resuscitation(Intermediate Phase of Burn Injury)Over the past 12 hours, the patient has developed worsening hypotension, tachycardia, decreased urine output, and altered mental status despite ongoing fluid therapy. Burn wounds appear erythematous with purulent drainage, and a foul odor is noted during dressing change.Additional Clinical Findings:Urine output: 15 mL/hr, dark and concentratedSkin: Warm but mottled, edematous around burn sitesMental status: Confused, restlessMucous membranes: DryCapillary refill: greater than 3 secondsLaboratory results:WBC: 15.2 (normal: 5.0-10.0 x 103 cells per microliter) Serum lactate: 4.6 mmol/L (normal: 0-2 mmol/L)Vital Signs:TempHRBPRRSpO2102.4°F (39.1°C)132 bpm82/4628 breaths/min92% on 4L NC