1. Septic shock with acute renal failure
Intensive care clinicianBackground
A 70-year-old non-operative ICU patient has fever, hypotension, tachycardia, respiratory distress, impaired consciousness, and acute renal failure.
Problem
Calculate the combined physiologic, age, chronic health, neurologic, and renal contributions to severity.
How to use
Enter temperature 38.9 °C, MAP 65 mmHg, heart rate 130/min, respiratory rate 30/min, FiO₂ 0.8, A-a gradient 350 mmHg, pH 7.25, sodium 138 mmol/L, potassium 5.6 mmol/L, creatinine 2.5 mg/dL, hematocrit 32%, WBC 18 ×10³/µL, GCS 10, age 70, and select acute renal failure and non-operative or emergency postoperative status.
Outcome
The calculator returns APACHE II = 35, with an acute physiology score of 25 and a base-model predicted mortality of approximately 83.1%.