MDCalc

West Haven Criteria

Defines criteria for the stages of hepatic encephalopathy.

Signs/Symptoms

Result:

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Advice
  • Lactulose is a standard treatment for hepatic encephalopathy.
  • Ammonia testing may be helpful diagnostically or trending levels.
  • There should always be consideration to other causes of altered mental status in these patients, as they are at high risk for comorbidities including bleeding, infection, drug interactions, and electrolyte disturbances.