When is albumin replacement therapy recommended and what is the typical dose for treating hypoalbuminemia?

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Last updated: June 10, 2025View editorial policy

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From the Guidelines

Albumin replacement therapy is recommended for patients with specific clinical indications, such as spontaneous bacterial peritonitis (SBP), large volume paracentesis for cirrhotic ascites, and hepatorenal syndrome, rather than solely based on low albumin levels. The typical dose for SBP is 1.5 g albumin/kg within 6 hours of diagnosis, followed by 1 g/kg on day 3, as recommended by the guidelines on the management of ascites in cirrhosis 1. For large volume paracentesis, the dose is 8 g albumin/L of ascites removed 1.

Key Indications for Albumin Replacement Therapy

  • Spontaneous bacterial peritonitis (SBP): 1.5 g albumin/kg within 6 hours of diagnosis, followed by 1 g/kg on day 3 1
  • Large volume paracentesis for cirrhotic ascites: 8 g albumin/L of ascites removed 1
  • Hepatorenal syndrome: 1 g/kg on day 1, then 20-40 g/day

Rationale for Albumin Therapy

The rationale for albumin therapy is to restore oncotic pressure, improve intravascular volume, and enhance transport of medications, hormones, and other substances. However, the underlying cause of hypoalbuminemia should always be addressed, as albumin replacement alone provides only temporary benefit without treating the primary condition.

Important Considerations

  • Albumin should not be used routinely for hypoalbuminemia in critically ill patients, malnutrition, or nephrotic syndrome without specific complications.
  • The dose and frequency of albumin administration should be determined by clinical response and albumin levels.
  • Fluid overload has been reported in prospective studies of albumin in patients with cirrhosis and non-SBP infection, therefore, careful monitoring of serum creatinine and fluid status is recommended 1.

References

Guideline

Guideline Directed Topic Overview

Dr.Oracle Medical Advisory Board & Editors, 2025

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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