Pancreatitis

Lab admit: CBC, BS, LDH,SGPT, SGOT,BUN,Cr,Ca +- Chol,TG

in 48 hrs : CBC, BS,BUN,Cr,Ca,Blood gas

At admission

Age > 55 yr

WBC > 16000

BS > 200mg/dl

Serum LDH > 35

Ast > 250 U/dl

During initisl 48 hrs

Hct fall > 10 percentage points

BUN elevation > 5 mg/dl

Ca fall < 8 mg / 100 ml

aPO2 < 60 mm Hg

Base deficit > 4 mEq/l

Estimated fluid sequestration > 6 l

Ranson > 3 severe pancreatitis

Score Mortality rate

0-2 1%

3-4 16 %

5-6 40 %

>7 100%