Acute Hepatic Failure

First Things First

  • ABCs
  • Grade 3-4 encephalopathy: cerebral edema, or substance ingestion, or shock
  • Mental status exam and send lab studies ASAP for appropriate triage to ICU or transplant center
  • Rapid evaluation for etiology
  • If acetaminophen (APAP) toxicity is suspected, do NOT delay treatment.

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Last updated: May 5, 2010