Flagyl for hepatic encephalopathy
[DOC File]ABSITE Killer Plus
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L vagus n (anterior) gives hepatic branch, R (posterior) gives celiac brance and the 'criminal nerve of Grassi' which if undivided can keep elevated acid levels post vagotomy. Chief cells produce pepsinogen (converted to pepsin) which initiates proteolysis.
[DOC File]Gastrointestinal MCQ’s - Improving care in ED
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Which is true of hepatic encephalopathy? It only occurs in chronic hepatic failure. Stage 3 consists of drowsiness and asterixis. Can be due to cerebral oedema as well as accumulation of toxic wastes. Lactulose use is now been shown to be the treatment of choice. Ammonia levels can be used as an index of encephalopathy.
[DOC File]Pharmacology
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hepatic metabolism to active metabolite, renal clearance / half-life 3-20 hrs. Clinical: orthostatic hypotension and reflex tachycardia minimized with slow upward titration, can cause disinhibition in patients with underlying bipolar, aggression, impulsivity [check that 7/99]
[DOCX File]1. Respiratory Medicine - Nigel Fong
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Hepatic encephalopathy: Lactulose is helpful, not just because of its effect as an osmotic laxative, but also because the acidic metabolites produced by lactulose breakdown promote ionization of ammonia into ammonium ions, which cannot diffuse back into the blood.
[DOCX File]www.rochesterpatientsafety.com
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Flagyl. Antibiotic. 1. Mezlocillin ... If given for non-infectious reason (i.e., gastroparesis, hepatic encephalopathy, rheumatoid arthritis, irritable bowel syndrome, crohn’s disease etc.) then drug type=5. Table 2. Therapeutic site indications for antimicrobial use. Empiric:
[DOC File]Antibiotics [pre:Dfreq, post: D dose by 50%]
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Peritonitis - perf: Ciproflox 400mg i/v 12h + Flagyl 500mg i/v 6h. Pneumonia, mild: Amoyxcillin/Augmentin po + EES. Alt: Clarithro. Pneumonia, CAP: ceftriaxone 1g om i/v + EES 800mg bd po. Pneumonia, CAP, severe: above + cloxacillin 1g 6h i/v. Pneumonia, nosocomial: imipenem 500mg 6h or pip-tazo 4.5g 6h
[DOCX File]Donuts
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HEPATIC ENCEPHALOPATHY: treat with lactulose (titrate to 3-4BMs per day or 500cc/day of stool), rifaximin (needs prior auth), zinc sulfate. ... TRICHOMONAS: metronidazole (Flagyl) 250q8 x7d or 375 BID x7d or 2g single dose or 1g BID x 2 doses on same day. GC/CHLAMYDIA: ceftriaxone 250mg IM + azithro 1gm x 1 dose ...
[DOCX File]EK033
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Insert Organisation logo here (inside this text box) Insert Organisation logo here (inside this text box). Patient Group Direction (PGD) PGD REF: EK033. valid from: January 2018. TO. December 2020. Supply & Administration of
[DOC File]Nutrition MCQ - Lippincott Williams & Wilkins
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A. Flagyl 500mg po bid. B. cipro 500mg po bid. C. cipro 500mg IV q12h. D. codeine 30mg po qid. ... Protein restriction should NOT be considered routinely in patients with chronic liver disease including in those with hepatic encephalopathy.
[DOC File]GCS 16 - Home
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14.Which is false about hepatic encephalopathy? it is due to ammonia produced in the gut reaching the brain unchanged. increased dietary protein and GIT bleeding are both risk factors. renal failure is a risk factor. neomycin works by removing urease producing gram –ves in the bowel
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