Acute liver failure: A progress report

Table 5 Management of complications of acute liver failure

Hypoglycemia	(10%) dextrose continuous infusion
	Bolus (50%) dextrose solution
Encephalopathy	Lactulose per NG enemas
	Neomycin/metronidazole/polymycin B
	GI therapy + branched chain amino acids	prostaglandins
		plasma exchange
	Rule out sepsis, GI bleeding	hypoxia, drug effects
		hypoglycemia, acid-base imbalance
Cerebral edema	Restrict fluids, Avoid patient stimulation
	Mannitol bolus
	Consider intracranial pressure	monitoring, thiopental infusion
Hypotension	Consider GI bleed/hypovolemia/septic shock
	Optimize cardiac filling pressure
	Dopamine ± norepinephrine infusion
Hypoxia	Endotracheal intubation, Mechanical ventilation
Sepsis	Broad-spectrum antibiotics, Consider fungal sepsis

NG: Nanograms, GI: Glycemic Index.