Core IM | Internal Medicine Podcast #6 The Wonderful World of Albumin: Mind the Gap segment
11 snips
Jan 3, 2018 AI Snips
Chapters
Transcript
Episode notes
Albumin Dosage Origins
- The recommended albumin dosage for SBP (1.5g/kg on day one, 1g/kg on day three) comes from a 1990s study.
- This study showed reduced renal failure and mortality, despite better antibiotics not improving mortality previously.
Anecdote: High Albumin Dose
- Steve Liu recounts a conversation with a hepatologist who had spoken to Dr. Sort.
- Dr. Sort's reasoning for the high albumin dose was to ensure a noticeable effect, although it's considered somewhat arbitrary.
Albumin-Crystalloid Equivalence
- The equivalence of albumin to crystalloid is approximately 1 unit of albumin to 1 liter of crystalloid.
- However, this conversion is based on an uncited claim and may not be entirely accurate.