acute liver failure - mx

Question 1

Which bloods are done and what is seen to investigate acute liver failure?

Answer 1

1. FBC
   - infection
   - low MCV
2. U and E
3. LFT
4. Clotting - increased INR
5. ABG

Question 2

What are LFTs in acute liver failure if due to alcohol?

Answer 2

AST : ALT > 2

Question 3

What are LFTs in acute liver failure if due to viral cause?

Answer 3

AST : ALT < 1

Question 4

stage 1 -2 : steps of management of acute liver failure

Answer 4

1. hypoglycaemia - treat with diet high in carbs
2. Risk of infection - tx with prophylactic antibodies
3. Coagulopathy - tx with vitamin K, plasma and platelet transfusion
4. treatment for paracetamol od

Question 5

stage 3 + : steps of management of acute liver failure

Answer 5

transplant !!