Understanding the Paracentesis Procedure for Fluid Removal
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DOSIS ALBUMINA 🩺 Pregunta clave: ¿Cuántos litros de ascitis se drenaron? 🔹 Paracentesis de GRAN volumen (>5 L) ✅ SÍ va albúmina IV ➡️ 6–8 g por cada litro retirado 💉 Albúmina al 20–25% 📌 Objetivo: prevenir disfunción circulatoria post-paracentesis, LRA e hiponatremia. 🔹 Paracentesis ≤5 L ❌ NO albúmina de rutina ⚠️ Considerar solo si hay riesgo: – Hipotensión – Insuficiencia renal – Hiponatremia / alteraciones electrolíticas 🧮 Regla rápida para la guardia 1 frasco de albúmina 20% (50 mL) ≈
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