Medications
May be used to counter the effects of alcohol consumption. Commonly referred to as this fruit.
MVI or Banana Bag (contains thiamine, folate, magnesium sulfate, and multivitamins)
Scarring of the liver due to trauma, hepatitis, or alcohol abuse
Liver cirrhosis
The patient should receive this fluid if they are stable
0.9% normal saline
BAC 0.1
Blood alcohol level greater than 0
This protocol is used to prevent seizures from withdrawals
CIWA
Treats fluid buildup due to heart failure, liver scarring, or kidney disease.
Spironolactone
Found with portal hypertension. The abdomen may need to be "tapped" for relief
Ascites
If the blood pressure is too high, this is recommended.
Hypotonics
Ammonia 72
High
Normal range is 15-45
Have this nearby if there's a chance your patient will seize.
Seizure pads
This diuretic does not spare potassium
Furosemide
This symptom is a result of fluid volume overload caused by cirrhosis. Breaths per minute and pulse oximeter will confirm it.
Dyspnea
If the blood pressure is too low...
Hypertonics
Magnesium 1.7
Normal
Range 1.5-2.0
Compression to breaths ratio
30:2
This medication helps relieve this problem. Prune juice has the same effect.
Lactulose
"They look like a highlighter!". This starts at the feet and moves up as the ammonia level increases.
Jaundice
Used in the OR, Burn Unit, or even the ICU. It isn't normally started in the ER until labs come back.
Lactated Ringers
Na 124
Low
Normal 135-145
Remove this from the room if patient is suicidal but make sure to provide them with a way to ask for assistance
call light
Found in dark green leafy vegetables. The body needs it to make DNA and other genetic material.
Folate
Due to elevated ammonia levels. The patient may not act like themselves.
Altered Level of Consciousness
If the medication comes in a glass bottle, open this so that it flows smoothly.
Vent
Platelet Count 175k
Normal
Range 140k-400k
Some have been known to drink this if they can no longer afford alcohol. It may be minty fresh.
Mouthwash.