Lactulose and MOM? - page 2

So we have a patient with end-stage cirrhosis that always gets back critical ammonia levels. A few days ago he was really woozy and sure enough is ammonia came back at 109. MD ordered another dose of lactulose now and check labs... Read More

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    If i am reading this right lactulose via enema is a bit more effective.
    oral+enema even more so.

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