Reduced or fluctuating level of consciousness, withdrawal, possible restlessness, confusion, hallucinations
Decreased oral intake, no fluids or only sips, difficulty swallowing
No urine output or small amount of very dark urine (anuria or olgiuria)
Progressing coldness and purple discoloration in legs and arms
Laborious breathing; periods of no breath (Cheyne-Stokes breathing),
Bubbling sounds in throat and chest (death rattle)