During the final 24-48 hours of life, the body shuts down system by system, leading to reduced urine output, toxic metabolite buildup, and potential delirium.

“the phrase we use is active dying to to distinguish it from the rest of living dying and the body is you know is actively shutting down. So system by system uh you know you'll stop your kidneys will shut down. You're not making as much urine in part because you stopped drinking probably a few days ago because your body couldn't handle the fluids. So, and thanks to kidney shutting down, you get a buildup of toxic metabolites and and get a little intoxicated, a little dreamy, a little that may be the course of that may be the the mechanism of your delirium.”