Download - BCC4: David anderson on Acute Liver Failure
Acuteliver
Failure
David AndersonAdvanced Trainee in Intensive Care MedicineAdvanced Trainee in Palliative Medicine
Case
Jaundice
DefinitionEncephalopat
hy
A short time after the onset of
Coagulopathyhttp://www.capitalpath.com.au/about-us/laboratory-
information.aspx
http://patient.co.uk
Encephalopathy
?Aetiology
http://herron.com.auhttp://giantmicrobes.comhttp://onlinepillspro.comhttp://en.wikipedia.orghttp://indyprops.com
Call for Help
http://8774e4voip.com/blog/polycom-soundpoint-ip-bat-phone/
Full Blood Count
Biochemistry
LFTs
Coags (incl fibrinogen)
Group and Screen
Blood Gas (with Lactate)
Paracetamol Level
Viral Hepatitis Serologybeta HCG*
Ammonia
Autoimmune Screen
HIV
Amylase/Lipase
Send Labs
http://www.npsg.uwaterloo.ca/people/daniel/rendering/
Give NAC
http://nutralife.com
ICU Housekeeping
http://allposters.com.au
http://mooselicker.wordpress.com/2012/09/24/continuations/
Early Vascular Access
http://medgadget.com
Haemodynamics
http://lcars47.comhttp://
transfusion.com.auhttp://hospira.com
http://indiamart.comhttp://healthfirst.com
Encephalopathy
http://www.urmc.rochester.edu/hslt/courses/neuroslides/lab2a/slide063.cfm
Encephalopathy
?http://valleyvet.com
http://nursingcrib.comhttp://hexal-elements.de
Start CRRT Early
http://gambro.com
Ammonia
http://www.luckymojo.com/ammonia.html
Coagulation
http://varnerlab.org
TEG
Patton et al, 2012http://www.aacc.org/publications/cln/2011/April/Pages/PlateletFunction.aspx
Microbiology
http://giantmicrobes.com
Transplant
http://liverfoundation.org.au
Cholongitas et al, 2012
Prognosis
Palliative Care
Extracorporeal Support?
Summary
@expensivecarehttp://expensivecare.com/2013/08/25/alf