The goals of treatment for R.W. "s ascites are to treat the cause of cirrhosis by ceasing alcohol consumption; mobilize. Ascitic fluid; diminish abdominal, pain discomfort back, difficulty and in ambulation; as well as to prevent complications. (e.g, bacte - rial peritonitis hernias pleural effusions,,,, hepatorenal syndrome and respiratory distress). 38 The goal. Is a weight loss of 0.5 to 1 kg / day which corresponds, to a net fluid volume loss of about 0.5 to 1 L / day. Treatment of. Ascites in R.W. Should be under - taken cautiously and gradually because acid - base imbalances hypokalemia or intravascular,,, Volume depletion caused by overly aggressive therapy can lead to compromised renal function hep - atic encephalopathy and,,, Death.41 42 The, initial medical manage - ment of ascites involves restriction of sodium intake and the use of diuretics to. Promote salt and water excretion.
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