PO (Adults and Children ): 8.33–11.67 mg/kg 3 times daily with meals for 5–10 days.
Hepatic Coma
PO (Adults ): 4 g/day in 2–4 divided doses for 5–6 days.
Availability⬆⬇
(Generic available)
Capsules: 250 mg
Assessment⬆⬇
Assess patient for infection (vital signs, stool) at beginning of and periodically throughout therapy.
Hepatic Coma: Monitor neurologic status. Prior to administering oral medication, assess patient's ability to swallow.
Implementation⬆⬇
Keep patient well hydrated (1500–2000 mL/day) during therapy.
PO: Administer with meals.
Patient/Family Teaching⬆⬇
Instruct patient to take as directed for full course of therapy. Missed doses should be taken as soon as possible if not almost time for next dose; do not double doses.
Advise patient of the importance of drinking plenty of liquids.
Caution patient that medication may cause nausea, vomiting, or diarrhea.
Advise patient to notify health care professional if ringing in the ears, hearing impairment, or dizziness occurs.
