Management of Ascites Caused by Cirrhosis
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Restrict the patient’s fluid intake to 1 liter a day to correct hyponatremia and continue current diuretic doses for another week to see if ascites improves. |
This answer is incorrect. If one checked a 24-hour urine for creatinine clearance, it would likely be less than 50 ml/min. Cirrhotic patients typically have low muscle mass, which is typically reflected by low creatinine levels. As a rule of thumb, cirrhotics with serum creatinine levels above 1.0 have some level of renal insufficiency. Although the fluid restriction would improve the hyponatremia, it would worsen renal function.
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