Ascites
Revision as of 13:57, 5 March 2012 by Rossdonaldson1 (talk | contribs) (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 ...")
Treatment
- Salt restriction
- Effective in about 15% of patients
- 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)
- Spironolactone
Water restriction
Paracentesis
Liver transplantation
Main article: liver transplantation
Ascites that is refractory to medical therapy is considered an indication for liver transplantation. In the United States, the MELD score (online calculator)[1] is used to prioritize patients for transplantation.