Question

A 62-year-old man with decompensated cirrhosis presents with confusion, asterixis and elevated ammonia levels. There is no evidence of intracranial pathology. What is the most appropriate first-line pharmacological treatment?

Accepted Answer

Oral Lactulose

Answer

Intravenous Mannitol

Answer

Oral Metronidazole

Answer

High-dose benzodiazepines

Answer

Oral Omeprazole

Practice question

A 62-year-old man with decompensated cirrhosis presents with confusion, asterixis and elevated ammonia levels. There is no evidence of intracranial pathology. What is the most appropriate first-line pharmacological treatment?