00:01
Hi!
Welcome to our video series on
liver cirrhosis complications.
00:06
In this portion of
the video series,
I'm going to talk to
you about the five goals
of inter professional treatment
of a patient with ascites.
00:13
Hey, Healthcare is a team sport
and I want to give you some tips and
strategies on the most effective way
to work with our other
professional colleagues.
00:23
First let's do a quick
review of what ascites is.
00:27
Now take a look at that picture.
00:28
You see the spinal cord
in the back right,
you see your spinal column,
then you move over and see the
liver, the stomach, the intestines
and then there's
that blue stuff,
What is that?
Well that represents
ascites ascites.
00:44
Ascites is an excess or
pathological accumulation
of serous fluid in the
abdominal or peritoneal cavity.
00:52
Now, you'll see this in approximately
50% of patients who have cirrhosis
within 10 years of
them being diagnosed.
01:00
There's three main
causes of ascites
we're not going to
go into detail here.
01:04
We do in the rest
of the video series,
but it's increased lymph
production, portal hypertension,
and damage to those worker bee cells
of the liver the hepatocytes.
01:16
Now there's five ways
we treat ascites.
01:18
Hey, that's cool.
01:19
We hit that number 5 again,
makes it easier for
you to remember.
01:24
So first one is treat the
underlying disease or disorder.
01:28
The second one is a
dietary sodium restriction.
01:32
The third is diuretic therapy.
01:34
The fourth is
therapeutic paracentesis
and the fifth one is
fluid restriction.
01:40
But only if the serum
sodium is less than 120
or their symptomatic
with their hyponatremia.
01:48
Okay I know I went through
those pretty quickly,
but that's because I just
wanted to give you a framework
of what we're now going to go back
and talk about in more detail.