Step II liver failure cocktail?

[notbobtrustme]

Advertisement - Members don't see this ad

is there an accepted regimen for all patients with liver failure/cirrhosis to be on akin to the MI cocktail or HF cocktail (eg, every s/p MI gets a b-blocker, ACE-i, statin, ASA; everyone with HF gets b-blocker, diuretic, ASA, ACE-i/ARB, +/- spirinolactone/digoxin).

 

[wonderbread12]

Albumin, lactulose, octreotide......i've seen the first two pretty often but i'm not sure that there is

 

[Instatewaiter]

really only lactulose +/- rifaxamin.
Albumin with a large volume para.
Midodrine if hypotensive

 

[igcgnerd]

Lactulose, beta blockers.
immunize against hep a/ b if their titers are negative.
The science doesn't support giving albumin prophylactically or in the case of sever ascites.

 

[Mad Jack]

I thought you were asking about a cocktail to cause liver failure, in which case I was going to say dissolve a bottle of Tylenol in a bottle of whiskey. Which, oddly enough, I've seen patients present with liver failure from doing on accident, care of alcoholism and ignoring the dosage instructions on their Tylenol bottle...