Is there a serum ammonium level for which you recommend initiation of dialysis in a patient with hepatic encephalopathy?
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Do you use serum ammonium levels to guide the initiation of dialysis in patients with hepatic encephalopathy?
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3 Answers
Mednet MemberInvited Expert
Nephrology · The University of Texas Health Science Center at San Antonio
Answered on
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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Mednet Member
Nephrology · University of Washington Medical Center
Answered on
This will be a helpful article: Paine & Pichler, PMID 37847521.
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Mednet Member
Nephrology · Ascension Borgess Health
Answered on
Whether there is a path forward for the patient is the most important question to answer for me. Resources should be used when justified!
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