Lasix for ascites

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  1. turbaza User

    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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    Of ascites so that the patient can avoid need for drainage. large oral doses of furosemide 200mg generally failed to relieve ascites. Whereas spironolactone. The recommended diuretic regimen in the setting of liver related ascites is a combination of spironolactone Aldactone and furosemide Lasix. 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

    Cirrhotic Ascites - Cleveland Clinic CME, Ascites Symptoms, Causes, Diagnosis, Treatment & Life Expectancy

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  3. 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

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    Key Points. Ascites is free fluid in the abdominal cavity, usually caused by portal hypertension and sometimes by other hepatic or nonhepatic conditions. Moderate amounts of fluid can increase abdominal girth and cause weight gain, and massive amounts can cause abdominal distention, pressure, and dyspnea; signs may be absent if fluid accumulation. Ascites can managed with a combination of spironolactone and furosemide 2 mg/kg of both twice daily. A lower protein diet with good quality protein will help, if neurologic signs are present lactulose will help as well. Most other therapies at this stage are of questionable value such as SAMe, silymarin, zinc, etc. Ascites may become refractory to diuretic therapy in one of two ways. Maximal doses of spironolactone and furosemide may fail to achieve adequate diuresis.

     
  4. arsoft Moderator

    Amoxicillin is indicated for the treatment of the following infections in adults and children (see section 4.2, 4.4 and 5.1). • Acute bacterial sinusitis • Acute streptococcal tonsillitis and pharyngitis • Acute exacerbations of chronic bronchitis • Community acquired pneumonia • Acute otitis media • Acute cystitis • Acute pyelonephritis • Asymptomatic Bacteriuria in pregnancy • Typhoid and paratyphoid fevers • Dental abscess with spreading cellulitis • Prosthetic joint infections • Helicobacter pylori eradication • Lyme disease Amoxicillin is also indicated for the prophylaxis of endocarditis. Consideration should be given to official guidance on the appropriate use of antibacterial agents. The dose of Amoxicillin that is selected to treat an individual infection should take into account: • The expected pathogens and their likely susceptibility to antibacterial agents (see section 4.4) • The severity and the site of infection • The age, weight and renal function of the patient; as shown below The duration of therapy should be determined by the type of infection and the response of the patient, and should generally be as short as possible. Some infections require longer periods of treatment (see section 4.4 regarding prolonged therapy). Children may be treated with Amoxicillin capsules, dispersible tablets, suspensions or sachets. Amoxicillin Paediatric Suspension is recommended for children under six months of age. Amoxicillin Pediatric Dosing - Epocrates Online Amoxicillin 250mg 5ml dosage - New Doctor Insights Amoxicillin Dosage For Kids – Uses, Side Effects & Precautions
     
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  6. Nickolazz XenForo Moderator

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