Lasix for ascites

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    Lasix for ascites


    The most important step to treating ascites is to drastically reduce your salt intake. Seeing a nutritional specialist (dietitian) is helpful especially because the salt content in foods is difficult to determine. Salt substitutes – that do not contain potassium -- can be used. Often, patients will require diuretics ("water pills") to treat ascites. Common diuretics are spironolactone (Aldactone®) and/or furosemide (Lasix®). These water pills can cause problems with your electrolytes (sodium, potassium) and kidney function (creatinine). Taking water pills is not a substitute for reducing your salt intake. In order to use Medscape, your browser must be set to accept cookies delivered by the Medscape site. Medscape uses cookies to customize the site based on the information we collect at registration. The cookies contain no personally identifiable information and have no effect once you leave the Medscape site.

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    Ascites describes the condition of pathologic fluid collection within the. up to spironolactone at 400 mg/d plus furosemide at 160 mg/d. My dad had recurrent ascites for the last several months of his life. When he very first developed ascites, he was given dietary restrictions and a was a diabetic and as his health declined, so did his kidneys and thus the diuretic had to be stopped. Lasix and Spironolactone will decrease fluid in abdomen as they are diuretics. But you always have a tendency for it to get collected. But you always have a tendency for it to get collected. You need to stop alcohol completely and consume diet rich in proteins like albumin white portion of egg.

    Ascites is defined as the accumulation of fluid in the peritoneal cavity. It is a common clinical finding, with various extraperitoneal and peritoneal causes (Box 1), but it most often results from liver cirrhosis. The development of ascites in a cirrhotic patient generally heralds deterioration in clinical status and portends a poor prognosis. Back to Top Ascites is the most common major complication of cirrhosis and is an important landmark in the natural history of chronic liver disease. If observed for 10 years, approximately 60% of patients with cirrhosis develop ascites requiring therapy. Back to Top Cirrhotic ascites forms as the result of a particular sequence of events. Development of portal hypertension is the first abnormality to occur. The goals of pharmacotherapy are to reduce morbidity and to prevent complications in patients with ascites. Diuretics should be initiated in patients whose ascites does not respond to sodium restriction. A useful regimen is to start with spironolactone at 100 mg/d. The addition of loop diuretics may be necessary in some cases to increase the natriuretic effect. If no response occurs after 4-5 days, the dosage may be increased stepwise up to spironolactone at 400 mg/d plus furosemide at 160 mg/d. For the management of edema resulting from excessive aldosterone excretion. Competes with aldosterone for receptor sites in distal renal tubules, increasing water excretion while retaining potassium and hydrogen ions. Increases the excretion of water by interfering with chloride-binding cotransport system, which, in turn, inhibits sodium and chloride reabsorption in the ascending loop of Henle and distal renal tubule. Depending on the response, administer at increments of 20-40 mg, no sooner than 6-8 h after the previous dose, until the desired diuresis occurs.

    Lasix for ascites

    Ascites in adults with cirrhosis Initial therapy - UpToDate, Diuretics for treating Ascites Treato

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  6. Ascites may become refractory to diuretic therapy in one of two ways. Maximal doses of spironolactone and furosemide may fail to achieve adequate diuresis.

    • Treatment of ascites in patients with portal hypertension ACP..
    • How long does ascites take to recover while on Lasix and Spironolactone..
    • Ascites - Merck Manuals Professional Edition.

    IV furosemide for treatment of ascites in patients with cirrhosis should be avoided for couple of reasons. First, in contrast to patients with congestive heart failure in whom the absorption of oral furosemide may be impaired due to bowel wall edema, patients with cirrhosis and ascites appear to absorb oral furosemide efficiently, similarly First-line diuretic therapy for cirrhotic ascites is the combined use of spironolactone Aldactone and furosemide Lasix. Beginning dosages are 100mg of. Effective Treatments & Remedies for Ascites. The home remedies for ascites include garlic, dandelion, gram, bitter gourd, fenugreek, radish, melon, onion, and adequate sleep. Ascites is a condition where there is fluid buildup in the abdomen or peritoneal cavity. This leads to inflammation in the arms, legs, and spleen.

     
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