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==Management==
==Management==
*Salt restriction
#Salt restriction
**Effective in about 15% of patients
#*Effective in about 15% of patients
*[[Diuretics]]
#[[Diuretics]]
**[[Spironolactone]]
#*[[Spironolactone]]
***Starting dose = 100mg/day PO (max 400mg/day)
#**Starting dose = 100mg/day PO (max 400mg/day)
***40% of patients will respond  
#**40% of patients will respond  
**[[Furosemide]]
#*[[Furosemide]]
***40 mg/day PO (max 160 mg/day)
#**40 mg/day PO (max 160 mg/day)
***Ratio of 100:40 with spironolactone (reduces risks of potassium prob)
#**Ratio of 100:40 with spironolactone (reduces risks of potassium prob)
*Water restriction
#Water restriction
*[[Paracentesis]]
#[[Paracentesis]]
*Liver transplantation
#Consider liver transplantation and shunting
*Shunting


==Disposition==
==Disposition==

Revisión del 19:11 8 jun 2015

Background

Clinical Features

Differential Diagnosis

Diagnosis

Management

  1. Salt restriction
    • Effective in about 15% of patients
  2. Diuretics
    • Spironolactone
      • Starting dose = 100mg/day PO (max 400mg/day)
      • 40% of patients will respond
    • Furosemide
      • 40 mg/day PO (max 160 mg/day)
      • Ratio of 100:40 with spironolactone (reduces risks of potassium prob)
  3. Water restriction
  4. Paracentesis
  5. Consider liver transplantation and shunting

Disposition

See Also