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While a patient with ascites is receiving albumin, the planned therapeutic effect will be greater if the nurse regulates the infusion to flow

While a patient with ascites is receiving albumin, the planned therapeutic effect will be greater if the nurse regulates the infusion to flow Correct Answer Slowly and restricts fluid intake

Concept:

  • When administering undiluted albumin 25% solution  to patients with normal blood volume, the rate of infusion should be slow enough (1 mL per minute) to prevent too rapid expansion of plasma volume.
  • which may leads to may cause circulatory compromise (e.g. hypertension, hypotension, or pulmonary edema.

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  • This will alter the course of homeostasis
  • Common indications of IV Albumin infusion
    • Fluid resuscitation
    • Marked hypoalbuminemia.
    • Nephrotic syndrome.
  • Even if patient have approximately normal blood volume, doses of more than 100 mL of 25% albumin should not be given faster than 100 mL in 30 to 45 minutes to avoid circulatory compromise.

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