1320 results
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... terlipressin #Albumin ... Management #Cirrhosis #treatment
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
infection Mainstay of treatment ... vasoactive therapy + albumin ... 200mcg SQ TID) ALBUMIN ... 50 g/day of 25% albumin ... Diagnosis #Management #treatment
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
Hepatorenal Syndrome Treatment ... expansion: • Albumin ... Hepatorenal #Syndrome #Treatment
Treatment with IV Albumin plus Cefotaxime in Patients with Spontaneous Bacterial Peritonitis. This graphic shows that
Treatment with IV ... Albumin plus Cefotaxime ... the addition of albumin ... #EBM #IM #GI #Albumin
Peritonitis - Spontaneous vs Secondary vs Peritoneal Dialysis Associated Peritonitis
Spontaneous Bacterial Peritonitis
 • Cirrhosis (high SAAG)
PMN > 250 • Treatment ... cephalosporin + albumin ... Positive Culture • Treatment
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
+ midodrine + albumin ... → No specific treatment ... Kidney #Injury #treatment
Spontaneous Bacterial Peritonitis
DIAGNOSTICS
Paracentesis: 
 • Calculate absolute PMN count (total WBC x PMN %)
 • Correct
as 10 days 2) Albumin ... 1.5 g/kg of 25% albumin ... : lg/kg of 25% albumin ... #prophylaxis #treatment
Methotrexate Renal Toxicity 
Prevention:
 • Alkalinize the urine, keep urine ph >7
 • Start pre-treatment 12
• Start pre-treatment ... 48 hours post Treatment ... • Dialysis: Albumin ... Toxicity #management #treatment
Management of Hyponatremia
Hypertonic Saline - Only indicated if patient has severe symptoms + Na < 125
Give
- Correct K & Albumin ... give specific treatment ... Management #algorithm #treatment
Approach to Undifferentiated Shock - OnePager Summary
Shock occurs when there is inadequate blood flow (CO) &
essential to determine treatment ... pancreatitis, low albumin