gi-hepatology
Decompensated Cirrhosis
Management of acute decompensation in cirrhosis — ascites, encephalopathy, SBP, variceal bleeding
Source: BSG 2015 / EASL 2018
Step 1 of ~8
info
Decompensated Cirrhosis
Identify precipitant: infection, GI bleed, constipation, sedatives, AKI, electrolyte disturbance, hepatocellular carcinoma.
Related
Curated clinical cross-links plus same-class fallbacks.
Drugs
- Vasopressin / Terlipressin · Vasopressin Analogue — Vasodilatory Shock / Variceal Bleeding
- Spironolactone (Ascites / Cirrhosis) · Aldosterone Antagonist / Potassium-Sparing Diuretic
- Furosemide (Ascites / Cirrhosis) · Loop Diuretic
- Insulin (IV Infusion — ICU Glucose Control) · Insulin — ICU Glucose Management
- Sodium Chloride 3% (Hypertonic Saline) · Hypertonic Electrolyte Solution — ICP/Hyponatraemia Management
- Glyceryl Trinitrate (Sublingual / IV) · Nitrate / Acute Angina
Decision support only. Always apply local guidelines and clinical judgement.