Ascites Management

Front

What is the initial laboratory investigation of ascitic fluid?

Back

Ascitic fluid cell count and differential, total protein, SAAG, and cytology.

Front

What imaging is recommended for ascites investigation?

Back

USG abdomen.

Front

What is the aim of conservative treatment for ascites in terms of body weight reduction?

Back

Reduce body weight by 0.5 kg/day.

Front

What dietary restriction is recommended for ascites management?

Back

Low salt diet (≤2 g Na/day).

Front

What is the fluid restriction for patients with dilutional hyponatraemia?

Back

1–1.5 L/day.

Front

What should be excluded before performing therapeutic paracentesis?

Back

Spontaneous bacterial peritonitis.

Front

What precautions should be taken during paracentesis in patients with hypotension?

Back

Monitor vital signs during paracentesis.

Front

What should be given if more than 5L of fluid is removed during paracentesis?

Back

IV albumin 6–8g per litre tapped.