Ascites - Study Notes | Northwest College

University:
Northwest College
Course:
VN 220 | Medical/ Surgical
Academic year:

2023
Views:

355

Pages:

3
Author:

YMejia

ascitesmechanisms for develomment of asutesare 4 completely understoodcontributing bactors: portal fitn andresulting or incapillans pressure andobstruction of venous blood blow through thedamaged liner. t vasodilation that occurs in thesp lanehnie circulation.liver damage failure to metabolize aldosteronewhich = T N9 and water retention by theKedneyleads to movement of bluid from thevascular system into the peritoneal space.liver damage leads to large amounts ofalbumin -rich fluid , 20 L t to accumulateinthe pentoneal cavity as asutesascites can also happen d/t:cancerkidney diseaseHFS/S:abdominal girthrapid weight gain801 discomfort alt enlarged abdomenstriaedistended veens over abd wall.umbilical hermasfluid and electroliste imbalancesPrescence and extent of ascites are assessedby percussing the abdomen.\Shifting dullness or a bluid ware will beseen.medical managementDoletany modificationslow 80dlum diets avoid table salt, salty foods,salted butter, canned and brown foods2gm godvun diet-2.unedsdiuretics along c/sodium restrictionspironolaetone. 1st line of treatmentDarly weight loss should & exceed (kg(2.2165)3 Bed restupnght posture IS assouated t/activation ofthe kenin-angotensin-aldosterone systemand synmpathetic nervous systemcauses to 6FR and Sodium excretion4Paracentesis:removal of bluid through a punitureor a small sx mersion through theabdominal wall under stenle conditions