Hepatic Encephalopathy — Uganda (General Adult population)
Clinical Grades
Grade I (Confusion/Flap), II (Drowsy), III (Stuporous), IV (Coma). Aggravated by sedatives/opioids.
Treatment
Correct precipitating factors. Oral Lactulose 15-30 mL every 8 hours (aim for 2-3 soft stools/day). If delayed referral: Oral Metronidazole 400-800 mg 8-hourly for 5 days.
Related Clinical Tools
