It was decided to change management of patient to intravenous rehydration with saline solution to which was added terlipressin, an insulin infusion due to diabetes mellitus decompensation and a transfusion of 2 units of packed red blood cells.
Antecedentes de diabetes mellitus tipo II, tratada con dieta e insulina NPH, cirrosis hepática y várices esofágicas grado II diagnóstico extrainstitucional, con manejo actual con propanolol y espironolactona.