### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi - I have a family member who was has been battling stage 4 lung cancer the past 3 years.  She is now experiencing very low sodium (109).  Shes in intensive care and her potassium is also low.  Other family members are asking me if they should hurry into town.  I think she looks better today than yesterday.  Her blood pressure is low too.  Question:  what are the signs that a persons system is shutting down and they are nearing the end of life?

### output:

Hello there! Stage 4 oncogenic carcinoma is a mortal condition with average life after diagnosis of 7 to 8 months with 5 year survival rate of less than 30 percent. Now as you ask what are the signs of systems shut down, so the answer depends on which system you are talking about. let's discuss some1. Low potassium can arrhythmias in heart and a person can have a heart failure2. Low sodium will disturb hemostasis and a person will have hyponatremia leading to its effects3. Kidney failure sign is urine out put will be decreased and will be less than 0.5 ml per kg per hour so for an average 70 kg man it would be less than 35 ml.4. For a shutting brain will be stroked, 5. For lungs, it will be hungered for breath, bluish discoloration, restlessness etc6. For liver, it would be bleeding tendencies, portal hypertension, splenomegaly leading to rupture, encephalopathies etc. so it's a multi organ failure thing all going on normally a dying person Gasps and is disoriented Chat Doctor.  Extremities get cold, persons heart beat pulse gets unmeasurable etc. Hope I was of helpRegards