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ICP should be monitored, maintaining it between 20 and 25 mmHg, with a brain perfusion pressure above 50 mmHg.99 When ICP is above 25 mmHg, boluses of hypertonic saline solution or intravenous mannitol at 20% should be added to the treatment.100 29 The presence of HE in a patient with ACLF confers a poor prognosis, increasing the risk for mortality in both the short and long terms

Check the liquid: Look through the window

Urine alkalization facilitates uric acid excretion

2 pumps) and hold in mouth for 30 seconds before swallowing, or as directed by your health care practitioner

Finally, it acts on appetite centres in the brain, which may help reduce calorie intake

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