Our 70 years old female patient has celiac disease, peritoneal carcinomatosis
intrahepatic Cholangiocarcinoma stage 4, Malignant Induced Ascites (accumulation of fluid in the abdominal cavity)
heberden’s nodes, loss of appetite, muscle atrophy, fatigue, weakness,extreme tiredness.
Shelost 26.4 pounds in 1 year (12 kilos).
She is 110 pounds and has Malnutrition.She has abdominal swelling and ascites in the abdominal cavity.
The physicians have already gone ahead with the lasix and aldactone. But lasix caused a lack of sodium in the blood.
(Hyponatremia is an electrolyte imbalance and is indicated by a low level of sodium in the blood. A normal sodium level is between 135 and 145 milliequivalents per liter (mEq/L) of sodium. Hyponatremia occurs when the sodium in your blood falls below 135 mEq/L.)
Lasix is stopped. What do you recommend to increase level of sodium in the blood?