HEPATIC ENCEPHALOPATHY Flashcards
isbraindysfunction caused byliverdysfunction.
Hepatic encephalopathy
affects your central nervous system and how you think, feel and act.
Encephalopathy
Hepatic encephalopathy is caused by neurotoxins in yourfood— substances that are toxic to your brain and nervous system. t or f
f; blood
is the most common grading system healthcare providers use for hepatic encephalopathy.
West Haven Criteria
are sometimes called minimal hepatic encephalopathy (MHE) or covert HE.
Stages 0 to 1
Stages 0 to 1 grades symptoms on a scale of
0 to 4
also called overt hepatic encephalopathy, feature more obvious symptoms.
Stages 2 to 4
Subtle changesin short-term memory, concentration and reaction time, only recognizable perhaps to you or those closest to you. what whc grade
Grade 0
mild confusion, mood swings, day sleeping what whc grade
Grade 1
Clear personality changes.
Inappropriate or out-of-character behaviors.
Lethargyandapathy.
Disorientation in time (what day or year is it?).
Slurred speech
what whc grade
Grade 2
Slow thinking and sluggish movements.
Disorientation in space (Where am I?).
Drowsiness and loss of general awareness.
Severe confusion,deliriumoramnesia.
Involuntarytwitching, tremors orasterixis.
what whc grade
grade 3
Total loss of consciousness (coma).
what whc grade
grade 4
happens when your liver doesn’t filter neurotoxins out of your blood as it normally would.
Hepatic encephalopathy
This is a sudden loss of liver function due to a sudden, severe liver injury. Type of hepatic encephalopathy caused by acute liver failure
Type A
is a frequent side effect that may contribute to the effects of hepatic encephalopathy.
Cerebral edema
Type of hepatic encephalopathy caused by a portosystemic shunt.
Type B
Type of hepatic encephalopathy caused by chronic liver failure
Type C
meds for hepatic encepalopathy
antibiotics (rifaximin) ; osmotic laxative (lactulose)
In the case of acute liver failure, which is an emergency,___may be helpful for treating Type A hepatic encephalopathy.
hemodialysis
