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Critical Care Practitioner  

Critical Care Practitioner

Your resource for critical care issues related to advanced practice, research, learning and social media.

Author: Jonathan Downham: Advanced Critical Care Practitioner, Teaching, Sharing and Interviewing.

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Language: en-us

Genres: Education, Health & Fitness, Medicine

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Decompensated Alcohol Related Liver Disease Part 2
Tuesday, 13 January, 2026

We return to our 48-year-old patient: jaundiced, hypotensive, drowsy, and bleeding. In decompensated cirrhosis, every treatment targets a disrupted system — splanchnic vasodilation, portal hypertension, toxin accumulation, and renal hypoperfusion.Although these patients look fluid overloaded, they are effectively hypovolaemic. Start with small aliquots of balanced crystalloid, avoiding 0.9% saline. In hepatorenal syndrome or tense ascites, 20% albumin is […] The post Decompensated Alcohol Related Liver Disease Part 2 appeared first on Critical Care Practitioner.

 

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