Ascites — Uganda (General Adult population)
Diet & Monitoring
Restrict salt. Avoid protein malnutrition (plant proteins liberally). Restrict water if hyponatremia present. Daily weight, BP.
Diuretics
Spironolactone 50-100 mg/day (max 400 mg/day). Furosemide 20-40 mg/day can be added if pedal oedema present (monitor for hypotension).
Drainage (Paracentesis)
For Grade 3 (Severe) ascites: Small volume (<5L) or large volume (5-10L) with 8g albumin infusion per litre removed.
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