THE IMPORTANCE OF ELECTROLYTIC AND METABOLIC CORRECTION FOR CONTROL OF HEPATIC ENCEPHALOPATHY

Abstract

Objective: to demonstrate the importance of electrolyte and metabolic correction in the control of hepatic encephalopathy. Method: integrative literature review, carried out in September 2024, in the virtual databases Virtual Health Library, Medical Literature Analysis and Retrieval System Online and Capes Periodicals Portal using the descriptors “Hepatic Encephalopathy”, “Liver Cirrhosis”, “Therapeutics” and “Ammonia” selected by the DeCS and MeSH Descriptors, related to the Boolean operator AND. Results: the correction of electrolyte imbalances, such as hypokalemia and hyponatremia, helps to reduce the production and absorption of ammonia in the intestine, minimizing its brain toxicity. The stabilization of acid-base balance and the correction of metabolic disorders contribute to the reversal of neuropsychiatric symptoms of encephalopathy, such as mental confusion, lethargy and personality changes. Early intervention can prevent progression to hepatic coma, which is the most advanced and severe stage of hepatic encephalopathy. Conclusion: Electrolyte and metabolic correction play a crucial role in the management of hepatic encephalopathy, a serious complication of liver failure.