Question

A 55-year-old man with established cirrhosis presents with increasing confusion, asterixis and drowsiness over 48 hours. He is constipated and has no focal neurology. What is the most appropriate initial specific treatment?

Accepted Answer

Start Lactulose to achieve 2 to 3 soft bowel movements per day

Answer

Start a high-protein diet

Answer

Prescribe Diazepam for agitation

Answer

Give intravenous Mannitol

Answer

Restrict all oral intake

Practice question

A 55-year-old man with established cirrhosis presents with increasing confusion, asterixis and drowsiness over 48 hours. He is constipated and has no focal neurology. What is the most appropriate initial specific treatment?