Diferencia entre revisiones de «Ascites»

(Created page with "==Treatment== #Salt restriction ##Effective in about 15% of patients #Diuretics ##Spironolactone ###Starting dose = 100mg/day PO (max 400mg/day) ###40% of patients will respond ...")
 
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###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
#Paracentesis
#Liver transplantation
#Shunting


 
==See Also==
 
*[[Jaundice]]
 
*[[Paracentesis]]
==Water restriction==
*[[SBP]]
==Paracentesis==
==Liver transplantation==
{{main|liver transplantation}}
Ascites that is refractory to medical therapy is considered an indication for [[liver transplantation]]. In the United States, the [[Model for End-Stage Liver Disease|MELD score]] ([http://www.unos.org/resources/meldPeldCalculator.asp online calculator])<ref name="pmid2682175">{{cite journal |author=Cosby RL, Yee B, Schrier RW |title=New classification with prognostic value in cirrhotic patients |journal=Mineral and electrolyte metabolism |volume=15 |issue=5 |pages=261–6 |year=1989 |pmid=2682175 |doi=}}</ref> is used to prioritize patients for transplantation.
 
==Shunting==

Revisión del 14:18 5 mar 2012

Treatment

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

See Also

Obtenido de «https://www.wikem.org/w/index.php?title=Ascites&oldid=8510»