Table 1. Neurological and laboratory findings of all hepatic encephalopathy episodes observed during the patient's hospital stay

Parameters

1^st

2^nd

3^rd

4^th

5^th

Neurological findings after vomiting

Somnolence

Confusion

Disorientation

Slurred speech

Lethargy, asterixis

Serum sodium

Before vomiting

NA

138

143

139

135

(mEq/l)

After vomiting

133

129

136

130

129

Serum potassium (mEq/l)

Before vomiting

NA

3.8

3.9

4.0

4.2

(mEq/l)

After vomiting

2.5

2.7

2.8

3.0

3.1

Plasma NH₃ (mcg/dl)

after vomiting

422

374

360

362

381