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Hepatorenal syndrome and large-volume paracentesis

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By: Fidelindo Lim, DNP, CCRN, and John Raterman, BFA, BSN, RN

Averting a Crisis.

Takeaways 

  • Hepatorenal syndrome (HRS), impaired renal function resulting from advanced liver disease, is characterized by renal vasoconstriction, systemic vasodilatation in the absence of other identifiable causes, decreased glomerular filtration rate, and hypotension. 
  • Large-volume paracentesis is defined as removing 5 liters or more of ascitic fluid during paracentesis, which is both diagnostic and therapeutic.  
  • HRS management goals are centered around preserving hepatic function, treating symptoms of cirrhosis, and maximizing renal function. 
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*Online Bonus Content: This has not been peer reviewed. The views and opinions expressed by My Nurse Influencer contributors are those of the author and do not necessarily reflect the opinions or recommendations of the American Nurses Association, the Editorial Advisory Board members, or the Publisher, Editors and staff of American Nurse Journal.

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