Acute Liver Failure
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Acuteliver
Failure
David AndersonAdvanced Trainee in Intensive Care MedicineAdvanced Trainee in Palliative Medicine
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Case
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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
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?Aetiology
http://herron.com.auhttp://giantmicrobes.comhttp://onlinepillspro.comhttp://en.wikipedia.orghttp://indyprops.com
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Call for Help
http://8774e4voip.com/blog/polycom-soundpoint-ip-bat-phone/
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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/
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Give NAC
http://nutralife.com
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ICU Housekeeping
http://allposters.com.au
http://mooselicker.wordpress.com/2012/09/24/continuations/
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Early Vascular Access
http://medgadget.com
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Haemodynamics
http://lcars47.comhttp://
transfusion.com.auhttp://hospira.com
http://indiamart.comhttp://healthfirst.com
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Encephalopathy
http://www.urmc.rochester.edu/hslt/courses/neuroslides/lab2a/slide063.cfm
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Encephalopathy
?http://valleyvet.com
http://nursingcrib.comhttp://hexal-elements.de
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Start CRRT Early
http://gambro.com
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Ammonia
http://www.luckymojo.com/ammonia.html
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Coagulation
http://varnerlab.org
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TEG
Patton et al, 2012http://www.aacc.org/publications/cln/2011/April/Pages/PlateletFunction.aspx
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Microbiology
http://giantmicrobes.com
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Transplant
http://liverfoundation.org.au
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Cholongitas et al, 2012
Prognosis
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Palliative Care
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Extracorporeal Support?
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Summary
@expensivecarehttp://expensivecare.com/2013/08/25/alf