Conversation: The conversation between human and AI assistant.
[|Human|] Is blood pressure of 104/51, heart rate of 95 in 42 year old male with end stage liver disease a bad sign. He had a bilirubin level of 43.9 and INR of 2.7 with his last labs 3 weeks ago. He is very sleepy and weak, and his skin coloring is yellow-gray. He is on pentoxyfilline, lasix, spironolactone and prednisolone.
[|AI|]  Hi thanks for asking question. Noted here main concern is your end stage liver disease. He also feeling sleepy. So hepatic encephalopathy should be investigated by estimating blood ammonia level. If present lactulose with rifaximine like antibiotic needed.... You should consult surgeon for treatment option like liver transplantation... Bilirubin level is very high. So avoid alcohol and take low fat diet. Prognosis here seems not to be good... Surgeon consultation strongly needed. Hope your concern solved. Take care