Approach to ascites Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 53-year-old man presents to the emergency department with confusion and abdominal distention. The patient is not able to  provide a history. Temperature is 37.3°C (99.1°F), pulse is 90/min, blood pressure is 100/58 mmHg, and respirations are 20/min. On physical examination the patient is jaundiced. The heart and lungs are normal upon auscultation. The abdomen is distended, and there is mild non-pitting edema in both feet. Serum transaminases are normal. Serum albumin is 2.5 g/dL and INR is 1.5. Diagnostic paracentesis is performed at bedside. Ascites albumin is 1.0 g/dL and white blood cell count is 300 cells/mm3 (50% neutrophils and 50% lymphocytes). Administration of which of the following medications is the next best step in management?  

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