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A patient newly admitted with hepatic encephalopathy is receiving lactulose 20mg TID. The medication is available...

A patient newly admitted with hepatic encephalopathy is receiving lactulose 20mg TID. The medication is available via liquid containers of 30mg/20mL.

1. Which behaviors by the patient would demonstrate that the lactulose is effective in treating the hepatic encephalopathy?

2. Is this dose within the recommended daily dose:

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Answer #1

1)lactulose is synthetic sugar used to treat constipation.

It is used to refuse the amount of ammonia in the blood of patients with liver diseases and related hepatic encephalopathy.it works by drawing ammonia from blood in to colon where it is removed from body.hence the patient will exibits the decreased level in ammoniain lab results

2) intial dose is 30ml orally 3 times a day or 300ml in 700ml water or normal saline as an retained enema for 30-6o minutes every 4-6hours

Maintanance dose -30 to 45 ml orally 3 times a day.

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