In addition , Kinzalkomb should be used with caution in patients with impaired hepatic function or progressive liver disease , since minor alterations of fluid and electrolyte balance may precipitate hepatic coma .
The above sentence is very complicated. Please provide me a simplified synonymous version consisting of multiple sentences:
Kinzalkomb should be used with caution in patients with impaired liver function or active liver injury . In such patients , even a minor change in fluid or electrolyte balance can trigger hepatic coma .