Management of Ascites Caused by Cirrhosis
This answer is incorrect. At the current doses of diuretics the patient has developed electrolyte abnormalities—hyponatremia and hypokalemia. In addition, the increase in serum creatinine from 1.0 to 1.4 mg/dL is worrisome; even this small increase can reflect functional renal failure. Last, her diruretic doses have reached the maximum doses generally recommended. Therefore, for multiple reasons, increasing the diuretics is not recommended.
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