Refractory Ascites

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• It is true that the supine position, or bedrest, reduces plasma renin concentrations and aldosterone levels. However, bedrest which has not been shown to promote more rapid natriuresis in the clinical setting predisposes patients to the formation of decubitus ulcers and is generally not practical.
• Sodium restriction is indeed an important cornerstone in the treatment of ascites, and the usual recommendation is to limit sodium intake to 88 mmol/day, which represents moderate sodium restriction. • Diets with lower sodium content are not well tolerated. Many patients with cirrhosis and ascites have mild-to-moderate asymptomatic hyponatremia when they take fluid without restriction. • It is generally accepted that fluid restriction is not necessary unless the serum sodium concentration drops below 120 mmol/L.
Page 1 and 2: Refractory Ascites prof. Dr. Ali El
Page 3 and 4: Refractory ascites is defined as as
Page 5 and 6: Second, in some studies bedrest has
Page 7 and 8: 1. diuretic-resistant ascites -- as
Page 9 and 10: 1-Diuretic-resistant ascites Failur
Page 11 and 12: 5-Early ascites recurrence There is
Page 13 and 14: Treatment The ideal treatment of as
Page 15 and 16: • The maximum daily doses are 400
Page 17: • Multiple studies show better co

Refractory Ascites

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