Chapter 51 Liver Diseases and Hepatitis Infections Q&A (1 OF 23) Sample Questions

1. JK is a 50-year-old patient who has ascites and is using Spironolactone 200 mg daily. Patient’s current medical conditions include hyperlipidemia and diabetes for the past 10 years. The doctor wants to add another medication to increase efficacy of JK’s current medication. What should be added?
  1. A. Metolazone
  2. B. Furosemide
  3. C. Amiloride
  4. D. Hydrochlorothiazide
Answer
Ans: B
Tips: RxTx/CTC 2019. Chronic Liver Disease (Ascites). Spironolactone and furosemide can be started simultaneously, which often provides more predictable diuresis with better electrolyte balance. Give diuretics as single morning doses. Use the lowest effective dose to achieve adequate diuresis and monitor serum electrolytes, urea and creatinine before therapy, weekly until stabilized, then monthly. Doses can be reduced after diuresis is initiated.