Blood tests may be nonspecific, or may show liver failure. Blood chemistry may show low albumin , high bilirubin , or other abnormality. Serum ammonia levels are commonly high. Prothrombin time may be prolonged and not correctable with vitamin K . Hepatic encephalopathy is an acute medical condition that may become a medical emergency.
Hospitalization is required.
The goals of treatment include life support, elimination or treatment of precipitating factors, and removal or neutralization of ammonia and other toxins . Life support including support of breathing or circulation may be required, particularly if coma develops. Precipitating factors must be identified and treated. Gastrointestinal bleeding must be stopped. The intestines must be emptied of blood.