dimps
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A 65-year-old woman is admitted to the hospital with severe ascites and fever. She has a 2-year history of portal hypertension secondary to hepatitis C-induced cirrhosis. The patient was placed on the liver transplant waiting list 3 months ago. Four months prior to admission she suffered an upper gastrointestinal bleed secondary to esophageal varices, which was subsequently banded via endoscopy. Two days ago, the patient developed abdominal pain, increasing abdominal girth, and fever. She was admitted to the hospital with the diagnosis of spontaneous bacterial peritonitis. The appropriate therapy is initiated and over the course of the next 4 days the patient appeared to be responding well. On the day of discharge you begin to plan her outpatient management and follow-up care. To prevent further disability from her current acute condition, you should prescribe
A. hydrochlorothiazide
B. lactulose
C. levofloxacin
D. oral protein supplements
E. propranolol
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| blrgirl
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i think its lactulose.
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| meg
Forum Guru
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there is an opinion that quinolones can be given to prevent second attack of SBP.... so answer might be either levoflox or lactulose..... tricky. Since the patient is improving symptomatically, I would think of levoflox as correct answer.
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| dimps
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meg u r 100% correct
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| nidhik15
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in a known case of SBP we give prophylactic norflox
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