Mr. Dorsey, a 58-year-old male with a history of alcohol-ind…
Mr. Dorsey, a 58-year-old male with a history of alcohol-induced cirrhosis, is admitted with increasing abdominal girth, confusion, and jaundice. His labs are: Ammonia: 122 mcg/dL (↑) INR: 2.1 (↑) AST: 178 U/L (↑), ALT: 105 U/L (↑) Albumin: 2.3 g/dL (↓) Sodium: 130 mEq/L (↓) Potassium: 3.2 mEq/L (↓) Vitals: BP 96/58, HR 102, RR 22, Temp 98.9°F, SpO₂ 94% Which of the following assessment findings indicates a potentially life-threatening complication of cirrhosis and should be addressed first?