I need your help.. please 80-year-old patient, insulin-dependent diabetes, chronic kidney disease stage 4, respiratory failure, hypertension stage 4, cardiomyopathy, chronic obstructive bronchophenumopathy, obesity grade 3, biliary lithiasis, presents a night fever crisis, hypertension perspiration, dyspnea , vomiting, muscle weakness, pain in right and left, rigid abdomen. After the emergency treatment - no spa, algifen, quamatel and enapel, TA 188/80 Intensive care inpatient surgery diagnosed with severe acute pancreatitis amylase 3000, currently after 24h artificial feeding + 980 treatment but high transaminases, increased creatinine 2 Opinions ? Risks? Glascow score? can you help me with this case?
Check out Apache score, apply it this will guide you. Also check out Atlanta guidelines. 🙌🏼
