Albuminar 25% solution

0 TO 18 YEARS OLD
No clinical studies using Albuminar-25 have been conducted in pediatric patients. Safety and effectiveness in pediatric patients have not been established. However, extensive experience in patients suggests that children respond to Albuminar-25 in the same manner as adults.

Parenteral drug products should be inspected visually for particulate matter and discoloration prior administration, whenever solution and container permit.

18 YEARS OLD AND ABOVE
Albuminar 25 may be given intravenously without dilution or it may be diluted with normal saline or 5% dextrose before administration. 200 ml per liter gives a solution which is approximately isotonic and iso-osmotic with citrated plasma. When undiluted albumin solution is administered in patients with normal blood volume, the rate infusion should be slow enough (1 ml per minute) to prevent too rapid expansion of plasma volume.

Parenteral drug products should be inspected visually for particulate matter and discoloration prior administration, whenever solution and container permit.

SHOCK
In the treatment of shock, the amount of albumin and duration of therapy must be based on the responsiveness of the patient as indicated by blood pressure, degree of pulmonary congestion, and hematocrit. The initial dose may be followed by additional albumin within 15-30 minutes if the response id deemed inadequate. If there is continued loss of protein, it may be desirable to give packed red blood cells.

BURNS
In the treatment of burns an optimal regimen involving use of albumin, crystalloids, electrolytes and water has not been established. Suggested therapy during the first 24 hours includes administration of large volumes of crystalloid solution to maintain an adequate plasma volume. Continuation of therapy beyond 24 hours usually requires more albumin and less crystalloid solution to prevent marked hemoconcentration and maintain electrolyte balance. Duration of treatment varies depending upon the extent of protein loss through renal excretion, denuded areas of skin and decreased albumin synthesis. Attempts to raise the albumin level above 4.0 g/100 mL may only result in an increased rate of catabolism.

HYPOPROTEINEMIA
In the treatment of hypoproteinemia, 200 to 300 ml of 25% albumin may be required to reduce edema and to bring serum protein values to normal. Since such patients usually have approximately normal blood volume, does not more than 100 ml of 25% albumin should not be given faster than 100 ml in 30 to 45 minutes to avoid circulatory embarrassment. If slower administration is desired, 200 mL of 25% albumin may be mixed with 300 ml of 10% dextrose solution and administered by continuous drip at a rate of 100 ml of this dextrose solution an hour.

Shock – Albumin is indicated in the emergency treatment of shock and in other similar conditions where the restoration of blood volume is urgent. If there has been conditions where the restoration of blood volume is urgent. If there has been considerable loss of red blood cells, transfusion with packed red blood cells is indicated.

Burns – Albumin or Albumin in either normal saline or dextrose is indicated to prevent marked hemoconcentration and to maintain appropriate electrolyte balance.

Hypoproteinemia with or without edema – Albumin id indicated in those clinical situations usually associated with a low concentration of plasma protein and a resulting decreased circulating blood volume. Although diuresis may occur soon after albumin administration has been instituted, best results are obtained if albumin is continued until the normal serum protein level is regained.