2773 results
Calcium Electrolyte Repletion
Always correct Ca for albumin before deciding if it is abnormal
correct Ca for albumin ... + [0.8 x (4 - albumin ... Electrolyte #Repletion #management
Calcium Metabolism and management 

Satyendra Dhar MD, @DharSaty

#calcium #metabolism #hypocalcemia #hypercalcemia #albumin
Metabolism and management ... hypercalcemia #albumin
Indications for Albumin for Management of Cirrhosis
 • Large volume paracentesis (>5 liter) - 8g per
Indications for Albumin ... for Management ... terlipressin #Albumin ... #Indications #Management
Spontaneous Bacterial Peritonitis 
Clinical 
 • Fever 
 • Chills 
 • Abdominal pain 
Diagnosis
stain/culture Management ... cephalosporin • Albumin
Albumin Supplementation in Large-volume Paracentesis
Administer albumin to prevent Prevention of Post-Paracentesis Circulatory Dysfunction
 • If LVP
Albumin Supplementation ... Paracentesis Administer albumin ... > 5L, give 25% albumin ... amount removed #Albumin ... #Paracentesis #management
Hepatorenal Syndrome - Diagnosis and Management Summary
Who gets HRS?
 • Decompensated cirrhosis
 • Typically with existing
Diagnosis and Management ... vasoactive therapy + albumin ... 200mcg SQ TID) ALBUMIN ... 50 g/day of 25% albumin ... HRS #Diagnosis #Management
Ascites - Diagnosis and Management Summary
Paracentesis studies: cell count + differential, albumin, protein, culture
 • Serum-ascites-albumin-gradient
Diagnosis and Management ... differential, albumin ... Serum-ascites-albumin-gradient ... LVP > 5L: 25% albumin ... Ascites #Diagnosis #Management
Hepatorenal Syndrome Treatment
Volume expansion: 
 • Albumin (typical dose = 1g/kg on day 1 +/- day
expansion: • Albumin ... Syndrome #Treatment #management
Paracentesis Checklist
Also Consider:
- albumin (large volume)
- facemask
- Luer Lock stopper tip for syringe

#Management #Paracentesis #Preprocedure #Materials
Also Consider: - albumin ... for syringe #Management
Spontaneous Bacterial Peritonitis (SBP) - Diagnosis and Management
Ascites PMN > 250/mm3
? Nosocomial or hospital acquired. Recent
Diagnosis and Management ... SBP: Medical Management ... response Give IV albumin ... SBP #Diagnosis #Management