Cirrhosis Flashcards
1
Q
Cirrhosis complications
A
Ascites
Portal hypertension
Variceal bleeding
Spontaneous bacterial peritonitis (SBP)
Hepatic encephalopathy
Hepatorenal syndrome
2
Q
Diagnosis of ascites
A
Abdominal ultrasound
3
Q
Diagnosis of portal hypertension
A
SAAG >/= 1.1
4
Q
How is SAAG measured?
A
Obtain albumin level in ascitic fluid from a paracentesis, then compare to the serum albumin level
5
Q
Treatment of ascites
A
Na+ restriction of 2g/day
Aldosterone antagonist (spironolactone 50-100mg, up to 400mg if tolerated)
Loop diuretics (furosemide 40mg)
6
Q
What is the ratio of spironolactone to furosemide? Why is it needed?
A
40:100
Needed to maintain normokalemia
