Ascites
- Sodium restriction + treat liver disease
- Spironolactone ± furosemide for cirrhotic ascites
- Large tense ascites → paracentesis
- albumin after large-volume removal
- Refractory ascites → transplant/TIPS evaluation
- Avoid NSAIDs + unnecessary ACEi/ARB
- Monitor Na, K, Cr + weight
Use at a glance
- Sodium restriction + treat liver disease
Escalation / refractory disease
- Refractory ascites → transplant/TIPS evaluation
Practical pearls
- Spironolactone ± furosemide for cirrhotic ascites
- Large tense ascites → paracentesis
- albumin after large-volume removal
Monitoring / follow-up
- Avoid NSAIDs + unnecessary ACEi/ARB
- Monitor Na, K, Cr + weight
Self-check
- What should generally be avoided in Ascites?
NSAIDs + unnecessary ACEi/ARB.
- What should be monitored during treatment of Ascites?
Na, K, Cr + weight.
Drugs used for this (2)
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