A 76-yeаr-оld mаle is brоught tо the emergency depаrtment for evaluation of fever and recent-onset confusion. He lives in a nursing facility and the staff report that over the past 2 days, he has voided frequent, small amounts of cloudy-appearing urine. He began experiencing chills overnight. He has a history of rheumatoid arthritis and diabetes mellitus for which he takes methotrexate, metformin, and glipizide. The patient’s initial vital signs: T 103.3°F, BP 90/50 mmHg, HR120/min, and RR 24/min. Physical exam reveals an ill-appearing man with suprapubic tenderness and warm extremities. A 2 L bolus of normal saline is given with no change in blood pressure. Which of the following types of shock best describes this patient’s presentation?