Ascites Management in Cirrhosis: Complications and Strategies
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Questions and Answers

What is the primary cause of ascites in cirrhosis patients?

  • Renin release
  • Splanchnic vasodilation
  • Liver fibrosis (correct)
  • Angiotensin II activation
  • Which physiological process leads to arterial underfilling and subsequent sodium and water retention in ascites?

  • Adrenal aldosterone production
  • Hypotension
  • Renin release
  • Activation of RAAS system (correct)
  • In ascites patients, what is the role of Angiotensin II in fluid retention?

  • Inducing arterial underfilling
  • Stimulating sodium retention (correct)
  • Inhibiting sodium reabsorption
  • Promoting potassium excretion
  • What physiological change occurs in the kidney in response to hypotension in ascites?

    <p>Elevated aldosterone production</p> Signup and view all the answers

    How does splanchnic vasodilation contribute to the development of ascites?

    <p>Resulting in arterial underfilling</p> Signup and view all the answers

    What is the primary consequence of activation of the RAAS system in ascites patients?

    <p>Sodium and water retention</p> Signup and view all the answers

    Which step in the pathophysiology of ascites involves NO and hypotension?

    <p>Splanchnic vasodilation</p> Signup and view all the answers

    What does a SAAG value of ≥1.1 g/dL and Ascitic Protein <2.5 g/dL indicate in a patient with ascites due to portal hypertension?

    <p>Fluid accumulation due to portal hypertension</p> Signup and view all the answers

    Which diagnostic test is commonly used to assess the cause of fluid accumulation in the abdomen in a patient with cirrhosis?

    <p>Abdominal ultrasound</p> Signup and view all the answers

    What is the recommended daily intake of sodium for patients with ascites?

    <p>&lt;2g/day</p> Signup and view all the answers

    In the treatment of Grade 1 ascites, which non-pharmacologic intervention may be effective?

    <p>Sodium restriction and diuretics</p> Signup and view all the answers

    What adverse effect is commonly associated with spironolactone in patients with cirrhotic ascites?

    <p>Hyperkalemia</p> Signup and view all the answers

    In which situation should IV albumin be administered after therapeutic paracentesis for Grade 3 ascites?

    <p>If more than 5L of ascitic fluid is removed</p> Signup and view all the answers

    Which medication type should be discontinued in patients with ascites due to cirrhosis?

    <p>NSAIDs</p> Signup and view all the answers

    What procedure may be considered for ascites not responsive to diuretics and sodium restriction?

    <p>(TIPS) Transjugular Intrahepatic Portosystemic Shunt</p> Signup and view all the answers

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