Acute Liver Failure Checklist

A checklist for experienced providers to help manage patients with acute liver failure in the ICU

Is this the day of admission to the ICU or a subsequent day?

1. Day of admission
2. Subsequent day

Check all the following that apply to your patient:

1. Suspected acetaminophen overdose
2. Abrupt deterioration in mental status
3. Serum sodium <145 mMol/L
4. Intubated
5. Agitated or in pain
6. Spontaneous hypothermia (34-37 °C)
7. Encephalopathy grade III/IV
8. Spontaneously hyperventilating
9. Progression of encephalopathy
10. SIRS
11. Clinical deterioration
12. Listed for transplant
13. Mean arterial pressure (MAP) <75 mm Hg despite volume repletion
14. Oliguria
15. Rise in creatinine >0.3 mg/dL
16. Ammonia >150 µM
17. Volume overload
18. Established/suspected intracranial hypertension
19. Clinically significant bleeding
20. Planned invasive procedure