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Internal Medicine • Gastroenterology • Nephrology • General Hepatology • Acute kidney injury
Is there a serum ammonium level for which you recommend initiation of dialysis in a patient with hepatic encephalopathy?
Answer from: at Community Practice
Because there is a very poor correlation between ammonia levels and hepatic encephalopathy, I do not make recommendations based on ammonia levels. My approach is to treat each case individually in consultation with our hepatology colleagues. If a patient has encephalopathy and is not responding to m...
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Answer from: at Academic Institution
This will be a helpful article: Paine & Pichler, PMID 37847521.