Medical Surgical Nursing

 With the movement of albumin from the serum to the peritoneal cavity, the

osmotic pressure of the serum decreases.

 This, combined with increased portal pressure, results in movement of fluid into

the peritoneal cavity.

Clinical Manifestations

 Increased abdominal girth and rapid weight gain are common presenting

symptoms of ascites.

 The patient may be short of breath and uncomfortable from the enlarged

abdomen, and

 Striae and distended veins may be visible over the abdominal wall.

 Fluid and electrolyte imbalances are common.