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Questions and Answers
Acute liver failure is a condition that occurs in patients with preexisting liver disease
Acute liver failure is a condition that occurs in patients with preexisting liver disease
False
Patients with ALF and grade 3 encephalopathy should not be intubated for airway protection
Patients with ALF and grade 3 encephalopathy should not be intubated for airway protection
False
There is conclusive evidence to recommend the use of lactulose or rifaximin for the treatment of encephalopathy in patients with ALF
There is conclusive evidence to recommend the use of lactulose or rifaximin for the treatment of encephalopathy in patients with ALF
False
The INR accurately reflects bleeding risk in patients with ALF
The INR accurately reflects bleeding risk in patients with ALF
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Viscoelastic tests may provide a more accurate assessment of coagulopathy than INR in patients with ALF
Viscoelastic tests may provide a more accurate assessment of coagulopathy than INR in patients with ALF
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In patients with ALF, routine use of prophylactic antibiotics is recommended due to the frequent absence of clinical signs of infection.
In patients with ALF, routine use of prophylactic antibiotics is recommended due to the frequent absence of clinical signs of infection.
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For hypotension not responsive to norepinephrine in ALF patients, vasopressin should be the first-line vasopressor to add as a secondary agent.
For hypotension not responsive to norepinephrine in ALF patients, vasopressin should be the first-line vasopressor to add as a secondary agent.
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IV NAC initiation is suggested in patients with non-APAP ALF.
IV NAC initiation is suggested in patients with non-APAP ALF.
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In ALF patients due to mushroom poisoning, IV silibinin should be initiated as soon as possible, and IV penicillin G may be used if IV silibinin is not available.
In ALF patients due to mushroom poisoning, IV silibinin should be initiated as soon as possible, and IV penicillin G may be used if IV silibinin is not available.
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Grade 2 hepatic encephalopathy presents with lethargy or apathy, disorientation for time, obvious personality change, inappropriate behavior, dyspraxia, and asterixis.
Grade 2 hepatic encephalopathy presents with lethargy or apathy, disorientation for time, obvious personality change, inappropriate behavior, dyspraxia, and asterixis.
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