Gastroenterology

For hepatic encephalopathy, consider lactulose; avoid benzodiazepenes due to upregulation of GABA receptors Supportive therapy for cerebral edema (often the mode of death): ICP monitoring to maintain cerebral perfusion pressure >50 mm Hg, mannitol for elevated ICP in pts without renal failure (elevation of head of bed, hyperventilation, steroids probably not useful) ................
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