27 results
Lactulose: Mechanism of Action in Hepatic Encephalopathy
Lactulose → ↑ Lactic Acid, Acetic Acid → ↓ pH
Lactulose: Mechanism ... Encephalopathy Lactulose ... EricsMedicalLectures/ #Lactulose
Algorithm for the Evaluation of Chronic Diarrhea (< 7 days)
Exclude:
1. Causes of acute diarrhea
2. Lactose intolerance
3.
Lactose intolerance ... Normal fecal fat: Lactose ... intolerance, Sorbitol, lactulose
Causes of Chronic Diarrhea - Differential Diagnosis
Osmotic
 • Food/Drink: Lactose intolerance, Artificial sweeteners (e.g. sorbitol, high
• Food/Drink: Lactose ... Mg hydroxide, Lactulose
Gram Negactive Bacteria Identification Algorithm #Diagnosis #Microbiology #GramNegative #Bacteria #Identification #Algorithm #Lactose #Oxidase #Urease #GNR
Identification #Algorithm #Lactose
Gram Negative Bacteria Overview Identification Algorithm #Diagnosis #Microbiology #GramNegative #Bacteria #Identification #Differential #Algorithm #Oxidase #Lactose #Urease
Algorithm #Oxidase #Lactose
Algorithm demonstrating identification of aerobic gram negative bacteria #Diagnosis #Microbiology #GramNegative #Bacteria #Identification #Differential #Algorithm #Lactose
Differential #Algorithm #Lactose
Hepatic Encephalopathy - Diagnosis and Management Summary
Definition:
 • Alteration in brain function manifested by neuropsychiatric symptoms
precipitating factors Lactulose ... used in cases of lactulose ... using as add-on to lactulose
Hyperkalemia Treatment Options
Stabilize cardiac membrane:
 • IV Calcium (peaks 5-10 minutes)
Decrease potassium concentration:
 • IV Fluids
Shift
Kayexylate +/- lactulose
Pharmacologic Management of Constipation 
Fiber Laxatives
 - Bran powder
 - Psyllium
 - Methylcellulose
 - Calcium polycarbophil
hydroxide - Lactulose
Algorithm for Treating Constipation in Hospitalized Patients
1. Start with miralax daily, uptitrate to desired BM, consider
cirrhosis: choose lactulose