HRS
Type 1: rapid progressive decline, Cr more than twice in 2/52
Type 2: Steady decline, associated with duretic resistant ascites
Diagnostic criteria:
- Chronic or acute hepatic disease with advanced hepatic failure and portal hypertention
- Cr more than 133, that progress over days/weeks
-The absence of other causes of acute kidney injury
No or minimum proteinurea, urine less than 10 meq/L
Therapy:
Terlipressin + albumin
Terlipressin 1-2 mg QDS
albumin 1 g/Kg bolus day 1-2, then 40 mg/day
Duration of treatment 2/52
if Cr not respond by 25% in day 3, increase terlipressin
Type 1: rapid progressive decline, Cr more than twice in 2/52
Type 2: Steady decline, associated with duretic resistant ascites
Diagnostic criteria:
- Chronic or acute hepatic disease with advanced hepatic failure and portal hypertention
- Cr more than 133, that progress over days/weeks
-The absence of other causes of acute kidney injury
No or minimum proteinurea, urine less than 10 meq/L
Therapy:
Terlipressin + albumin
Terlipressin 1-2 mg QDS
albumin 1 g/Kg bolus day 1-2, then 40 mg/day
Duration of treatment 2/52
if Cr not respond by 25% in day 3, increase terlipressin
I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
ReplyDeleteliver already present. I started on antiviral medications which
reduced the viral load initially. After a couple of years the virus
became resistant. I started on HEPATITIS B Herbal treatment from
ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
treatment totally reversed the virus. I did another blood test after
the 6 months long treatment and tested negative to the virus. Amazing
treatment! This treatment is a breakthrough for all HBV carriers.