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lactulose
PO or rectal
works to decrease ammonia production and trap it in GI tract
may be used to treat constipation → osmotic laxative
assessment
labs
liver function
ammonia
side effects of lactulose
diarrhea
caution use for lactulose
monitor GI output
implementation / patient teaching
causes frequent loose stools
difference: decrease ammonia vs improve constipation
patients in liver failure may need to take this forever