Hepatorenal Syndrome Treatment
Volume expansion:
• Albumin (typical dose = 1g/kg on day 1 +/- day 2, followed by 20-40 g/day afterwards)
Vasoconstrictors, either:
• Midodrine - An alpha- 1 agonist (an oral systemic vasoconstrictor) + Octreotide - Somatostatin analogue (a subcutaneous selective splanchnic vasoconstrictor)
or
• Norepinephrine, vasopressin, or terlipressin (intravenous vasoconstrictors; terlipressin is theoretically more specific for splanchnic vessels)
- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedi
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