A 75F found to be hypoglycemic with hypotension and bradycardia. She had  UA positive for klebsiella. She had a leukocytosis to 18 and a creatinine of 6.  Pt has blood cultures positive for group A streptococcus.  On the day of transfer her blood pressure dropped to the 60s.  She was anuric throughout the day, awake but drowsy.  This morning she had temp 96.3, respiratory rate 22, BP 102/26.