lactulose enema

lactulose enema

a rectal injection of lactulose used to treat patients with severe hepatic encephalopathy.
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The patient was treated with lactulose enema, and within 1 hour his mental status improved dramatically.
5 g/kg on day 1 and 1 g/kg on day 3) Hepatic encephalopathy [] Patient carries a diagnosis: ensure lactulose and rifaximin ordered and received [] Acute hepatic encephalopathy: If low grade (stage 1 or 2)--lactulose 30-45 mL every 2 h orally or by nasogastric tube If no improvement in 6 hours, convert to lactulose enemas every 2 h If high grade (stage 3 and 4)--lactulose enemas every 2 h If improvement in 6 hours, convert to every 2 h lactulose orally or by nasogastric tube