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. Author manuscript; available in PMC: 2023 Oct 15.
Published in final edited form as: Semin Liver Dis. 2022 Aug 24;42(3):362–378. doi: 10.1055/s-0042-1755274

Table 2.

Items to be considered on admission and daily in all cases of ALF

Neuro checks every 1–2 hours
Head of the bed at 30°
Head in neutral position
Minimize stimulation (tracheal suctioning, chest physiotherapy, sternal rubbing)
Consider N-acetylcysteine (NAC) IV
CXR and surveillance cultures (blood, urine, sputum) on admission and every 24–48 hours
Monitor blood glucose every 1–2 hours
Avoid nephrotoxic drugs (aminoglycosides, NSAIDs, neomycin, etc.) and IV contrast
DVT prophylaxis (sequential compression device) despite coagulopathy
PPI for stress ulcer prophylaxis
Communication: (1) intensivist and/or transplant hepatologist, (2) nurse, (3) patient’s family

Abbreviations: ALF, acute liver failure; CXR, chest X-ray; DVT, deep vein thrombosis; IV, intravenous; NSAID, nonsteroidal anti-inflammatory drug; PPI, proton-pump inhibitor.