Treatments for Ascites
Treatments for Ascites
The list of treatments mentioned in various sources
for Ascites
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
Ascites: Is the Diagnosis Correct?
The first step in getting correct treatment is
to get a correct diagnosis.
Differential diagnosis list for Ascites may include:
Hidden causes of Ascites may be incorrectly diagnosed:
Drugs and Medications used to treat Ascites:
Note:You must always seek professional medical advice about any prescription drug, OTC drug, medication, treatment
or change in treatment plans.
Some of the different medications used in the treatment of Ascites include:
Unlabeled Drugs and Medications to treat Ascites:
Unlabelled alternative drug treatments for Ascites include:
- Propranolol
- Apo-Propranolol
- Betachron
- Detensol
- Inderal
- Inderal-LA
- Inderide
- Inderide LA
- Ipran
- Novo-Pranol
- PMS Propranolol
Hospital statistics for Ascites:
These medical statistics relate to hospitals, hospitalization and Ascites:
- 0.048% (6,107) of hospital consultant episodes were for ascites in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 77% of hospital consultant episodes for ascites required hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 51% of hospital consultant episodes for ascites were for men in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 49% of hospital consultant episodes for ascites were for women in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- 68% of hospital consultant episodes for ascites required emergency hospital admission in England 2002-03 (Hospital Episode Statistics, Department of Health, England, 2002-03)
- more hospital information...»
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Abdominal Masses:
Treatment
(In a Page: Signs and Symptoms)
-
Immediate attention to life-threatening causes (e.g., ruptured abdominal aortic aneurysm)
-
Most cases of abdominal masses are treatable once the etiology is identified
-
Many malignant and benign masses (e.g., fibroids, hernia) require surgical intervention
-
Infectious causes require antibiotics and may require operative intervention (e.g., abscess drainage)
-
Constipation is typically treated with laxatives, enemas, and increased dietary fiber and fluids; manual disimpaction is reserved for fecal impaction; discontinue offending medications (e.g., narcotics)
-
Hirschsprung's disease may require operative treatment
-
Ogilvie's syndrome responds to decompression by rectal tube or IV neostigmine
-
Organomegaly typically resolves once the underlying process is treated (e.g., mononucleosis resulting in splenomegaly)
» READ BOOK EXCERPT ONLINE »
Source: In a Page: Signs and Symptoms, 2004
Ascites:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Treatment is directed at underlying cause
-
Bed rest, fluid, sodium restriction is the first line
-
Diuretics: Careful use in selected cases
-
Chylous ascites
–High-protein, low-fat diet supplemented with medium-chain triglycerides
–Parenteral nutrition may be needed to decrease lymph flow and supplement nutrition
–Laparotomy may be indicated for failed dietary management, to seal leak site
-
Surgical intervention: Bile or urine ascites
-
Therapeutic paracentesis: May be repeated to relieve respiratory distress or impending umbilical rupture
-
Portacaval shunt or a peritoneovenous shunt (LeVeen) for intractable ascites
–Shunt between peritoneal cavity and superior vena cava
-
Transjugular intrahepatic portosystemic shunt (TIPSS) for cirrhosis while awaiting transplantation
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Abdominal Masses:
Treatment
(In A Page: Pediatric Signs and Symptoms)
-
Depends on specific etiology
-
Respiratory and hemodynamic stability of the patient must be secured before any evaluation or treatment
-
Prompt involvement of a pediatric surgeon, neurosurgeon, oncologist, urologist/urologic surgeon, gynecologist, or gastroenterologist will help streamline the approach
» READ BOOK EXCERPT ONLINE »
Source: In A Page: Pediatric Signs and Symptoms, 2007
Abdominal distention:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If the patient displays abdominal distention, quickly check for signs of hypovolemia, such as pallor, diaphoresis, hypotension, a rapid thready pulse, rapid shallow breathing, decreased urine output, and altered mentation. Ask the patient if he’s experiencing severe abdominal pain or difficulty breathing. Find out about any recent accidents, and observe him for signs of trauma and peritoneal bleeding, such as Cullen’s sign or Turner’s sign. Then auscultate all abdominal quadrants, noting rapid and high-pitched, diminished, or absent bowel sounds. (If you don’t hear bowel sounds immediately, listen for at least 5 minutes in each of the four abdominal quadrants.) Gently palpate the abdomen for rigidity. Remember that deep or extensive palpation may increase pain.
If you detect abdominal distention and rigidity along with abnormal bowel sounds and if the patient complains of pain, begin emergency interventions. Place the patient in the supine position, administer oxygen, and insert an I.V. line for fluid replacement. Prepare to insert a nasogastric tube to relieve acute intraluminal distention. Reassure the patient and prepare him for surgery.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Abdominal mass:
Emergency interventions
(Handbook of Signs & Symptoms (Third Edition))
If the patient has a pulsating midabdominal mass and severe abdominal or back pain, suspect an aortic aneurysm. Quickly take his vital signs. Because the patient may require emergency surgery, withhold food or fluids until he’s examined. Prepare to administer oxygen and to start an I.V. infusion for fluid and blood replacement. Obtain routine preoperative tests, and prepare the patient for angiography. Frequently monitor blood pressure, pulse, respirations, and urine output.
Be alert for signs of shock, such as tachycardia, hypotension, and cool, clammy skin, which may indicate significant blood loss.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Signs & Symptoms (Third Edition), 2006
Peritonitis:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Antibiotics, nothing by mouth, supportive care (I.V. fluid and electrolyte replacement)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Abdominal distention:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the patient displays abdominal distention, quickly check for signs of hypovolemia, such as pallor, diaphoresis, hypotension, rapid and thready pulse, rapid and shallow breathing, decreased urine output, poor capillary refill, and altered mentation. Ask the patient if he’s experiencing severe abdominal pain or difficulty breathing. Find out about any recent accidents, and observe the patient for signs of trauma and peritoneal bleeding, such as Cullen’s sign or Turner’s sign. Then auscultate all abdominal quadrants, noting rapid and high-pitched, diminished, or absent bowel sounds. (If you don’t hear bowel sounds immediately, listen for at least 5 minutes.) Gently palpate the abdomen for rigidity. Remember that deep or extensive palpation may increase pain.
If you detect abdominal distention and rigidity along with abnormal bowel sounds, and the patient complains of pain, begin emergency interventions. Place the patient in the supine position, administer oxygen, and insert an I.V. line for fluid replacement. Prepare to insert a nasogastric tube to relieve acute intraluminal distention. Reassure the patient and prepare him for surgery.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Abdominal mass:
Emergency interventions
(Professional Guide to Signs & Symptoms (Fifth Edition))
If the patient has a pulsating midabdominal mass and severe abdominal or back pain, suspect an aortic aneurysm. Quickly take his vital signs. Because the patient may require emergency surgery, withhold food or fluids until the patient is examined. Prepare to administer oxygen and to start an I.V. infusion for fluid and blood replacement. Obtain routine preoperative tests, and prepare the patient for angiography. Frequently monitor blood pressure, pulse rate, respirations, and urine output.
Be alert for signs of shock, such as tachycardia, hypotension, and cool, clammy skin, which may indicate significant blood loss.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Signs & Symptoms (Fifth Edition), 2006
Peritonitis:
Treatment
(Handbook of Diseases)
Early treatment of GI inflammatory conditions and preoperative and postoperative antibiotic therapy help prevent peritonitis. After peritonitis develops, emergency treatment must combat infection, restore intestinal motility, and replace fluids and electrolytes.
Empiric antibiotic therapy usually includes the administration of appropriate antibiotics, depending on the infecting organisms. To decrease peristalsis and prevent perforation, the patient should receive nothing by mouth; I.V. fluids are administered. Other supportive measures include preoperative and postoperative administration of analgesia and nasogastric (NG) decompression.
When peritonitis results from perforation, surgery is necessary. The aim of surgery is to eliminate the source of infection by evacuating the spilled contents and repairing any organ perforation.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Abdominal distention:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the patient displays abdominal distention, quickly check for signs of hypovolemia, such as pallor; diaphoresis; hypotension; rapid, thready pulse; rapid, shallow breathing; decreased urine output; poor capillary refill; and altered mentation. Ask the patient if he’s experiencing severe abdominal pain or difficulty breathing. Find out about any recent accidents, and observe the patient for signs of trauma and peritoneal bleeding, such as Cullen’s sign or Turner’s sign. Then auscultate all abdominal quadrants, noting rapid and high-pitched, diminished, or absent bowel sounds. (If you don’t hear bowel sounds immediately, listen for at least 5 minutes.) Gently palpate the abdomen for rigidity. Remember that deep or extensive palpation may increase pain.
If you detect abdominal distention and rigidity along with abnormal bowel sounds and the patient complains of pain, begin emergency interventions. Place the patient in the supine position, administer oxygen, and insert an I.V. line for fluid replacement. Prepare to insert a nasogastric tube to relieve acute intraluminal distention. Reassure the patient, and prepare him for surgery.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Abdominal mass:
Emergency Actions
(Signs & Symptoms: A 2-in-1 Reference for Nurses)
If the patient has a pulsating midabdominal mass and severe abdominal or back pain, suspect an aortic aneurysm. Quickly take his vital signs. Because the patient may require emergency surgery, withhold food and fluids until the patient is examined. Prepare to administer oxygen and to start an I.V. infusion for fluid and blood replacement. Obtain routine preoperative tests, and prepare the patient for angiography. Frequently monitor blood pressure, pulse, respirations, and urine output. Be alert for signs of shock, such as tachycardia, hypotension, and cool, clammy skin, which may indicate significant blood loss.
» READ BOOK EXCERPT ONLINE »
Source: Signs & Symptoms: A 2-in-1 Reference for Nurses, 2007
Abdominal distention:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Position the patient comfortably, using pillows for support.
▪ If the patient has flatus, place him on his left side to help flatus escape.
▪ If the patient has ascites, elevate the head of the bed to ease his breathing.
▪ Insert a nasogastric tube for bowel compression; monitor amount and type of drainage.
▪ Administer drugs to relieve pain, and offer emotional support.
▪ Prepare the patient for diagnostic tests, such as abdominal X-rays, endoscopy, laparoscopy, ultrasonography, computed tomography scan or, possibly, paracentesis.
▪ Prepare the patient for surgery, if indicated.
Patient teaching
▪ Teach the patient to use slow deep breathing to help relieve abdominal discomfort.
▪ If the patient has an obstruction or ascites, tell him which foods and fluids to avoid.
▪ Emphasize the importance of oral hygiene to prevent dry mouth.
▪ Explain the underlying disorder and treatment plan.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
Abdominal mass:
Nursing considerations
(Nursing: Interpreting Signs and Symptoms)
▪ Offer emotional support to the patient and his family as they await the results of diagnostic testing.
▪ Position the patient comfortably, and administer drugs for pain or anxiety as needed.
▪ If an abdominal mass causes bowel obstruction, watch for indications of peritonitis—abdominal pain and rebound tenderness—and for signs of shock, such as tachycardia and hypotension.
▪ Prepare the patient for surgery, if indicated.
Patient teaching
▪ Explain any diagnostic tests that are needed.
▪ Teach the patient about the cause of the abdominal mass, once a diagnosis is made. Also explain treatment and potential outcomes.
» READ BOOK EXCERPT ONLINE »
Source: Nursing: Interpreting Signs and Symptoms, 2007
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Alternative Treatments for Ascites
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