6 Questions
What is the primary reason for using lactulose in the treatment of hepatic encephalopathy?
To favor the conversion of ammonia to ammonium, which is ionic and cannot cross back into the systemic circulation
What is the typical dosage regimen for lactulose in the treatment of hepatic encephalopathy?
25 ml orally every 1 to 2 hours, until catharsis begins, then decreased to 15 to 45 mL orally every 8 to 12 hours
What is the mechanism of action of rifaximin in the treatment of hepatic encephalopathy?
It inhibits the activity of urease-producing bacteria in the gut
What is the potential benefit of zinc supplementation in patients with hepatic encephalopathy?
It acts as a co-factor for NH3 metabolism
What is the indication for using flumazenil in the treatment of hepatic encephalopathy?
Refractory encephalopathic patients
What is the underlying diagnosis of the patient described in the case?
Hepatic cirrhosis
This quiz is about a case study of a 52-year-old man with a history of alcohol abuse, diagnosed with hepatic cirrhosis. It explores the use of lactulose as a standard therapy for hepatic encephalopathy. Test your knowledge of liver disease and its treatment options.
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