Management

1. Identify and treat cause. Where possible, discontinue any drug that could be implicated. If extrahepatic, consider percutaneous transhepatic drainage, bile duct stenting or, rarely, surgery.

2. Liver biopsy is rarely necessary in a jaundiced ICU patient unless the diagnosis is unknown and the possibility exists of liver involvement in the underlying pathology, e.g. malignancy.

3. Non-obstructive jaundice usually settles with conservative management as the patient recovers.

4. An antihistamine and topical calamine lotion may provide symptomatic relief for pruritus if troublesome. Cholestyramine 4g tds PO may be helpful in obstructive jaundice.

Lower Your Cholesterol In Just 33 Days

Lower Your Cholesterol In Just 33 Days

Discover secrets, myths, truths, lies and strategies for dealing effectively with cholesterol, now and forever! Uncover techniques, remedies and alternative for lowering your cholesterol quickly and significantly in just ONE MONTH! Find insights into the screenings, meanings and numbers involved in lowering cholesterol and the implications, consideration it has for your lifestyle and future!

Get My Free Ebook


Post a comment