King’s Collge Criteria For Liver Transplant

Question 1

What is the key criteria for the transplant?

Answer 1

Arterial pH less than 7.3
INR over 6.5 or PT over 100 seconds
Creatinine over 3.4
Grade III or IV hepatic encephaloapthy

Question 2

What is the single most important aspect of the criteria indicating transplant?

Answer 2

Arterial pH less than 7.3

Question 3

What is an alternative to using arterial pH in King’s college criteria?

Answer 3

Combined 3 of the following:

INR > 6.5, creatinine > 300 micromoles/L, and grade 3 or 4 encephalopathy

Question 4

What is the INR value for the King’s criteria?

Answer 4

Over 6.5

Question 5

What is the PT value for the King’s criteria?

Answer 5

Over 100 seconds

Question 6

What is the minimum level of encephalopathy for King’s criteria?

Answer 6

Grade III or IV hepatic encephaloapthy

Question 7

What are the poor predictors of prognosis without transplant?

Answer 7

Lactate over 3.5 after fluid resuscitation
Phosphate over 3.75 after 48-96 hours