Analysing the hypothetical case described, choose the correct alternative:

Patient of 68 years, female, with flu-like symptoms for a week, has been presenting productive cough with yellowish expectoration, progressive dyspnea in the last 24 hours. Non-smoker and non-alcoholic. Presents in regular general condition, conscious, discolored, dehydrated. Refers tiredness when speaking, chest pain when coughing, and decreased appetite. BP = 156x98 mmHg; HR = 122bpm; RR = 24mrm; T = 38.9°C. The lungs present bilateral crepitant and subcrepitant rales, with predominance in the D base. The heart presents rhythmic, normophonetic sounds, without murmurs. The abdomen is flaccid and painless.