All of the following are precipitating factor for hepatic encephalopathy in patients with chronic liver disease except
Hypokalemia
Hyponatremia
Hypoxia
Metabolic acidosis
Answer is D (Metabolic acidosis): Hepatic encephalopathy is precipitated by metabolic alkalosis and not by metabolic acidosis. Electrolyte and Metabolic imbalances that precipitate Hepatic Encephalopathy Hypokalemia Alkaosis (Metabolic Alkalosis) Hypoxia Hyponatremia