Conversation: The conversation between human and AI assistant.
[|Human|] i am a hospice nurse. I currently am treating a resident with end stage ETOH liver disease he has drank 25 oz of Vodka daily for thirty years. Recently he has lost consciousness twice , some SOB, N& V, he is hpotensive. H was just tapped two days ago, withdrawing 5 liters. Are his bouts of syncope caused by ETOH?
[|AI|]  Hi thanks for asking question. This patient can have hepatic encephalopathy. Measure his ammonia level. Maintain his airway. If needed intubation done. For providing nutrition nasogastric tube intubation done. For reducing ammonia production Aureomycin or rifaximine like antibiotic or lactulose needed. Diuretic can be given to decrease swelling.TIPS or liver transplantation might be needed after consulting doctor. Take care. Chat Doctor.