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Review Question - QID 207354

Hepatic Encephalopathy QID: 207354 (IM.4684)
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QID 207354 (Type "207354" in App Search)
A 56-year-old woman with a history of alcoholic cirrhosis and recurrent esophageal varices who recently underwent transjugular intrahepatic portosystemic shunt (TIPS) placement is brought to the emergency room by her daughter due to somnolence. Starting this morning, the patient has appeared sleepy, difficult to arouse, and slow to respond to questions. On physical exam, temperature is 98.6 deg F (37 deg C), blood pressure is 98/56 mmHg, pulse is 72/min, and respirations are 14/min. She repeatedly falls asleep and does not cooperate with asterixis testing. Pupils contract rhythmically to penlight exam. Which of the following is the most appropriate treatment?
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