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Some patients with a history of hepatic encephalopathy may have normal mental status while under treatment.

Inhibitory control test for the diagnosis of minimal hepatic encephalopathy.

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If ECG changes include the loss of P-wave or widening of the QRS complex, treatment with IV Ca as well as insulin and glucose is indicated; 10 to 20 mL 10% calcium gluconate (or 5 to 10 mL 22% calcium gluceptate) is given IV over 5 to 10 min.

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