Hepatic Encephalopathy Flashcards
1
Q
What is the patho behind hepatic encephalopathy
A
Alteration in mental status caused by gut derived neurotoxins unable to be removed because of vascular shunting, are able to get to the brain. Ammonia is typically elevated but correlation is poor
2
Q
Symptoms of hepatic encephalopathy
A
Asterixis
Brain edema with risk of herniation
3
Q
Treatment plan for metabolic encephalopathy
A
Lactulose with the goal of 2-3 soft bowel movements per day
Rixafimin
