Management Of Acute - On - Chronic Liver Failure: Part 2
Critical Matters
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The Role of Respiratory Failure in Acute Unquanicked Liver Failure
Hepatorhino syndrome is often encountered and after misunderstood. It's a nonstructural kidney injury that occurs because of the underlying pathophysiology of liver disease, which is clannic vasodilation but intense renal vasoconstriction due to arterial underfilling. The way we used to diagnose hepato renal syndrome was that we would wait for a creatinine to go up to 2.5 in two weeks before starting therapy. We realized that when we were doing this, we had all of these problems with creatinine because there is no muscle mass in many of these liver patients. And if we delayed therapy for too long, it was people sort of had,
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