Intravenous infusion of albumin can reduce the severity of circulatory after removal of a large volume of ascites fluid from a patient with cirrhosis.


Indication: large volume removal of ascites fluid (> 5 liters)


dose of albumin in grams =

= (6 to 8 grams) * (number of liters of ascites fluid removed)


volume of albumin in mL to infuse =

= (grams of albumin) * 100 / (percent albumin as number from 0 to 100)


Other volume expanders such as Hemaccel or dextran 70 can be used instead of albumin when used in comparable doses.


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