An unresponsive 80-year-old patient has been ill for 4 days….

An unresponsive 80-year-old patient has been ill for 4 days. Diet was normal untilyesterday when the patient became very lethargic. There is a history of diabetes andhypertension. Respirations are 32 and deep, pulse is 120. The skin is warm and dry andthere is a sweet, fruity odor near the patient. Your FIRST impression of this patient is: