ask
"Pharmacist, do you have albumin ?" I want to use, how do I open? ”
Dr. Hu Dongmei of the Department of Pharmacy of Shanghai Changhai Hospital answered:
In fact, the efficacy of albumin is completely "deified"!
Some family members feel that patients eat less and do not have enough nutrition; some patients feel that their immunity is low; and even some people have no symptoms, they want to supplement nutrition, they all want to inject some albumin, do not know that albumin is not a nutritional drug, let alone a "panacea".
(Image from Photoshop)
Q
What is albumin?
A
Albumin, also known as albumin, is the most important protein in the human plasma, maintaining the body's nutrition and osmotic pressure. Concentrations amount to 38-48 g/L, accounting for about 50% of total plasma protein. The liver synthesizes 12-20 grams of albumin per day.
The main component of albumin for clinical medication is human blood albumin, and the excipients are sodium caprylate, sodium nitride, and sterilized water for injection. This product is a slightly viscous, yellow or green to brown clear liquid and should not appear cloudy.
Who can use it?
1. Shock caused by blood loss trauma and burns.
2. Increased cranial pressure caused by cerebral edema and injury.
3. Cirrhosis of the liver and kidney disease caused by edema or ascites.
4. Prevention and treatment of hypoproteinemia.
5. Neonatal hyperbilirubinemia.
6. Adjuvant therapy for cardiopulmonary shunts, burns, hemodialysis, and respiratory distress syndrome in adults.
What aspects should I pay attention to when using albumin?
At present, the use of albumin is relatively simple, which is intravenous infusion or intravenous bolus. Albumin is a blood product that requires caution when using:
1. Avoid allergies
If the patient develops an allergic reaction after taking the drug, it should be discontinued in time to prevent severe rashes or other allergic symptoms.
2. Infusion speed
When an albumin infusion is performed, the patient cannot adjust the infusion rate on their own. The infusion rate has a certain correlation with the concentration of albumin and physical condition, and the drug must be used according to the infusion rate set by the doctor and nurse.
3. Infusion crowd
People with chronic diseases or special conditions need to use with caution, including hypertension, pulmonary edema, renal insufficiency, etc.
4. Prevention of infectious diseases
The use of albumin should strengthen the prevention of infectious diseases. Partially substandard blood products may cause the spread of infectious diseases among transfusion patients.
5. Miscellaneous
Close observation of the condition is required during medication, and attention should be paid to monitoring the amount of patients entering and leaving and whether the electrolytes are balanced.
In short, albumin is good after all, it is also a medicine, I hope that the majority of patients will affirm its efficacy and pay attention to the symptomatic problems, do not blindly use drugs.
Popular science source:
Shanghai Public Health News
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