Engelsk titel: Hepatic encephalopathy - the acute management
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Författare:
Wahlin, Staffan
Email: staffan.wahlin@karolinska.se
Språk: Swe
Antal referenser: 14
Dokumenttyp:
Översikt
UI-nummer: 16047252
Sammanfattning
Hepatic encephalopathy causes significant impairment and morbidity. Hepatic encephalopathy is just one of many causes
for altered mental status in patients with cirrhosis of the liver. The initial management at admission to hospital includes a search
for differential diagnoses and precipitating factors. A structured description of the type, cause, time course and clinical severity is
essential for achieving medically safe communication and care of the HE patient. Lactulose and correction of any precipitating
factors is the basis for initial therapy. A post-discharge management which includes frequent monitoring, preventive measures as
well as education of patient and caregivers may ameliorate the often very high readmission rate.