Oral Exam: ESLD comlications Flashcards
1
Q
Ascites key lab
A
Albumin will be low
2
Q
SBP key lab
A
PMN > 250
3
Q
Ascites treatment
A
Spironolactone 200-400mg/day
+ 40mg furosemide for every 100mg spironolactone
+/- Sodium dietary restriction < 2g
4
Q
Ascites monitoring
A
Hyperkalemia
Gynecomastia
Renal decline
BP
5
Q
HE treatment
A
Lactulose
- 30mL (20g) TID initially, titrate to 3 BM’s/day
- 90g daily max
+/- Rifaximin
- 550mg PO BID
6
Q
SBP treatment
A
Acutely: Cefotaxime 2g IV q12 or Ciprofloxacin 400mg IV q12 \+/- Albumin 1g/kg starting day 1, then 1g/kg day 3
Maintenance:
Ciprofloxacin 750mg PO weekly
7
Q
SBP common pathogens to treat for
A
E. coli or Klebsiella
8
Q
HE monitoring
A
Improvement in mental status GI SE's Dehydration - caution renal failure Hypernatramia Hypokalemia
9
Q
Ascites risk factor
A
Inadequate doses of spironolactone
10
Q
HE risk factors
A
Poor adherence to lactulose
CNS depressing drugs
PPI use
11
Q
SBP risk factor
A
PPI use
