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A 3 month old infant who is extremely lethargic has had a cough, vomiting, and diarrhea for the past 3 days. Assessment reveals that he responds to pain, has mottled skin color, and a capillary refill time of 4 seconds. He has a blood pressure of 74/60 mm Hg, a pulse of 190 beats/min., and rapid respirations (60 breaths/min) without increased work of breathing. The tachycardia in this infant is most likely due to:
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