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ammonia levels

My sister is in the advanced stages of cirrohsis .  She is in the hospital now. She was admitted because of her liver and congestive heart failure.  She also had a bleeding ulcer, they have stopped the bleeding.  She is confused and disoriented. At this point she is unresponsive. She is receiving antibotics for a urinary tract infection because of her ammonia levels.  What happens if her ammonia level keeps rising? And what should we look for in the next stage of her illness?
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144210 tn?1273092382
High ammonia levels cause encepholapothy, which is serious and causes confusion and dementia in the brain. The drug Lactulose is usually given in large amounts to combat this.
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