<prompt> All of the following are precipitating factor for hepatic encephalopathy in patients with chronic liver disease exceptHypokalemiaHyponatremiaHypoxiaMetabolic acidosis  <response>: 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 