Johnson Jensen is a 57-year-old male admitted to the ICU for acute pancreatitis. His mother died 4 months ago, and shortly after that he lost his job. Recently, he has been drinking a gallon of vodka a day. In addition, he has a history of diabetes mellitus. He was brought to the ED by ambulance when his brother found him unresponsive at home. He was intubated in the ambulance on the way to the ED and remains intubated and ventilated due to hypoxia. In the ED, his serum hematocrit was 45%, his WBC 21,000 µL (mm3), BUN 35 mg/dL, creatinine 1.4 mg/dL, blood glucose 425, and serum amylase 1,250 SI units. If he awakens, he writhes in pain. He is currently receiving 5 mg of midazolam an hour, 200 mcg of fentanyl an hour, and 8 units of insulin per hour. Since arrival in the ED 2 hours ago, he has received 4 liters of normal saline and is currently receiving 500 mL NS/hour. His blood pressure is currently 92/65 mmHg, heart rate 124 beats/min, and CVP 8 mmHg.