Hepatic encephalopathy laboratory findings: Difference between revisions
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{{Hepatic encephalopathy}} | {{Hepatic encephalopathy}} | ||
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==Overview== | ==Overview== |
Revision as of 14:58, 26 December 2017
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1];Associate Editor(s)-in-Chief: Mohamadmostafa Jahansouz M.D.[2]
Overview
Laboratory Findings
Tests may include:
- Complete blood count or hematocrit to check for anemia
- Liver function tests
- Prothrombin time
- Serum ammonia levels
- Sodium level in the blood
- Potassium level in the blood
- BUN and creatinine to see how the kidneys are working
Ammonia levels
An ammonia level more than 200 strongly suggests hepatic encephalopathy.[1]
Ammonia levels over 123 are likely to improve with lactulose therapy.[2]
References
- ↑ Ong JP, Aggarwal A, Krieger D, Easley KA, Karafa MT, Van Lente F; et al. (2003). "Correlation between ammonia levels and the severity of hepatic encephalopathy". Am J Med. 114 (3): 188–93. PMID 12637132.
- ↑ Sharma P, Sharma BC, Sarin SK (2009). "Predictors of nonresponse to lactulose for minimal hepatic encephalopathy in patients with cirrhosis". Liver Int. 29 (9): 1365–71. doi:10.1111/j.1478-3231.2009.02067.x. PMID 19555401.