Hepatic Cirrhosis and Lactulose Therapy

To directly reduce the levels of bilirubin in the blood

To favor the conversion of ammonia to ammonium, which is ionic and cannot cross back into the systemic circulation (correct)

To reduce the production of organic acids in the gut

To increase the pH of the colon and promote the growth of urease-producing bacteria

550 mg orally twice a day, for chronic therapy

25 ml orally every 8 to 12 hours, titrated to produce one to two soft stools per day

25 ml orally every 1 to 2 hours, until catharsis begins, then decreased to 15 to 45 mL orally every 8 to 12 hours (correct)

15 to 45 mL orally every 1 to 2 hours, until catharsis begins

It directly reduces the levels of ammonia in the blood

It increases the production of urease-producing bacteria in the gut

It stimulates the metabolism of ammonia in the liver

It inhibits the activity of urease-producing bacteria in the gut (correct)

<p>It acts as a co-factor for NH3 metabolism</p> Signup and view all the answers

<p>Refractory encephalopathic patients</p> Signup and view all the answers

<p>Hepatic cirrhosis</p> Signup and view all the answers