Spontaneous Bacterial Peritonitis

Read Ascites, Cirrhosis

Pathophysiology

Diagnosis

Treatment

  1. IVF
  2. NPO, analgesia for pain (us. minimal pain) +/- NG tube
  3. Correct coagulopathy prior to paracentesis:
  4. Initiate ABx immediately for septic ascitic fluid PMN>250:

Disposition

  1. Admit w/GI consult; ICU if septic shock or hepatic encephalopathy
  2. For pts who refuse inpatient care: