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and aldosterone antagonists such as spironolactone are the most commonly used diuretics in patients with cirrhosis and ascites Encepahlopathy Complicating encepahlopathy is an indication for lowered protein intake and lactulose or lactitol Portal hypertension
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more frequent in patients with nephrotic syndrome heart failure or cirrhosis treated with large doses of diuretics Other causes of ECF volume depletion in CKD are listed in Table 154 These side effects can be avoided by gradual titration of the dose and careful monitoring following institution of combined diuretic and ACE inhibitor or ARB therapy Management consists of
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torsemide and aldosterone antagonists such as spironolactone and potassium canrenoate are the most commonly used diuretics in patients with cirrhosis and ascites 3 Bodyweight is an important parameter to assess the effectiveness of diuretic therapy The objective of treatment is to achieve a weight loss of 350 500 g day during the
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Carvedilol should be used cautiously in patients who use diuretics or who are elderly or have cirrhosis asthma peripheral vascular disease hyperthyroidism Prinzmetal s variant angina
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a history of bone disease peptic ulcer enterectomy regional enteritis malabsorption nephrolithiasis liver cirrhosis or renal disorder The subjects had not taken calcium supplements or vitamin D preparations nor received anticonvulsants diuretics adrenocorticosteroids estrogens or
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Lasix

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