Question

A 72-year-old with decompensated cirrhosis has tense ascites. What initial diuretic regimen is recommended to mobilize ascites while maintaining normokalemia?

Accepted Answer

Spironolactone 100 mg and furosemide 40 mg daily (100:40 ratio)

Answer

Spironolactone 50 mg only

Answer

Furosemide 80 mg only

Answer

Spironolactone 200 mg and furosemide 20 mg daily

Answer

Hydrochlorothiazide 25 mg only

Practice question

A 72-year-old with decompensated cirrhosis has tense ascites. What initial diuretic regimen is recommended to mobilize ascites while maintaining normokalemia?