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Mr. F is a 47-year-old male with a history of alcohol abuse who arrives to the Emergency Department (ED) with altered mental status (AMS) and a reported seizure or seizure like activity. He has significant ascites and jaundice to his sclera and nail beds. Client's family admitted with decrease level of consciousness, personality changes reported by family, and increased anxiety. Your assessment reveals lower leg edema, fine tremors, as well as yellow skin color. Serum levels show AST 456, ALT 523, and NH3 (ammonia) 123.
1. Briefly describe the pathophysiology of hepatic encephalopathy.
2. Discuss treatment options including inclusive of pharmacology prescribed. Include the pharmacological class for each medication.
3. Provide specific client education related to pharmacology treatment.
4. Provide one therapeutic intervention for each medications discussed.
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