NBME 20 Answers : Block 3 : #37 = A 62-year-old man with alcohol-induced liver ...

nbme20/Block 3/Question#37

A 62-year-old man with alcohol-induced liver ...

Spironolactone

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submitted by hayayah(244),

Clinical use of K-sparing diuretics:

Hyperaldosteronism
K+ depletion
HF
hepatic ascites (spironolactone)
nephrogenic DI (amiloride)
antiandrogen

redvelvet Patients with hepatic ascites have hyperaldosteronism; because the intravascular volume is escaped to third space(ascites). So adding spironolactone is a good choice. +

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submitted by sweetmed(0),

A rapid reduction of ascites is often accomplished simply with the addition of low-dose oral diuretics in the outpatient setting. First-line diuretic therapy for cirrhotic ascites is the combined use of spironolactone (Aldactone) and furosemide (Lasix) - Clevland Clinic