Contrast the immediate and long term term management of a patient with cirrhotic ascites vs malignant ascites?

Answer 1

cirrhotic ascites occurs with liver failure. the liver is responsible for synthesizing proteins such as albumin. without these proteins in the blood, you will have oncotic forces driving free water out of the bloodstream and into various body compartments such as the peritoneum, thus producing ascites. in cases of cirrhotic ascites, diuretics such as spironolactone or furosemide can help but the mainstay of therapy is geared towards maintaining nutritonal status and preserving liver function. again remember that the ascites is occurring because the liver isn't making proteins. severe cases would warrant a liver transplant.

malignant ascites occurs because the tumor has invaded the peritoneum, thus compromising the normal barrier and allowing fluid to flow directly into the peritoneal cavity. usually malignant ascites is bloody although it can really be anything- exudative, infective, etc... also malignant cells can usally be seen if the ascitic fluid is sent to pathology. if the malignancy is not treatable then treatment would be palliative. intra-peritoneal administration of chemotherapy may sometimes be an option.

Answer 2

You must be taking a test.
Both of them get huge amounts of fluid in the abdomen. Physicians remove it for comfrort. When both of these pts have large amounts of ascites, it pushes up their diaphragm and makes it hard to breath and pretty much makes them misreable. They can put in a tube in the abdomen to unclamp it and remove some of the fluid. When they take too much fluid off at a time, it causes depletion of the protiens in the body and causes edema and swelling, this is why only a liter or 2 of fluid is removed at a time. I have seen up to 8 liters removed at once however.
Sometimes they use spironolactone orally to help.

Answer 3

Braves made the perfect trades for on the spot help. i could say Texas for long term yet they're morons they're going to commerce those youngsters off for some outdated washed up ballplayer on the tip of the season

Answer 4

Please see the webages for more details on Ascites.