<p><strong>Human albumin 25%</strong>&nbsp;is for intravenous administration only. Human albumin may be diluted with 5% glucose or 0.9% sodium chloride. Concentration, dosage, and infusion-rate should be adjusted to the patient&rsquo;s individual requirements and indication.</p>

<ul>
	<li>Hypovolemia: Initial dose 25 g is suggested.</li>
	<li>Hypoalbuminemia: 50-75 gm</li>
	<li>Prevention of central volume fluid removed depletion after</li>
	<li>paracentesis due to cirrhotic ascites: 6-8 gm for every 1000 mL of ascitic.</li>
	<li>OHSS: 50 to 100 gm over 4 hours and repeated at 4-12 hour intervals as necessary. 10-50 gm; single infusion.</li>
	<li>ARDS: 25 g over 30 minutes and repeated at 8 hours for 3 days if necessary.</li>
	<li>Burns: Determined by direct observation of vital sign or measurement of either plasma oncotic pressure or protein content.</li>
</ul>

<p><strong>Human albumin 20%</strong>: Measures of adequacy of circulating volume and not plasma albumin levels should be used to determine the dose required. If human albumin is to be administered, haemodynamic performance should be monitored regularly; this may include:</p>

<ul>
	<li>arterial blood pressure and pulse rate</li>
	<li>central venous pressure</li>
	<li>pulmonary artery wedge pressure</li>
	<li>urine output</li>
	<li>electrolyte</li>
	<li>haematocrit / haemoglobin</li>
</ul>

<p>The solution can be directly administered by the intravenous route, or it can be diluted in an isotonic solution (e.g. 0.9% sodium chloride). In plasma exchange the infusion rate should be adjusted to the rate of removal.<br />
<br />
<strong>Human albumin 5%</strong>&nbsp;may be given intravenously without further dilution. This concentration is approximately isotonic and iso-osmotic with citrated plasma. Albumin (Human) in this concentration provides additional fluid for plasma volume expansion. Therefore, when it is administered to patients with normal blood volume, the rate of infusion should be slow enough to prevent too rapid expansion of plasma volume.<br />
<br />
In the treatment of shock in an adult patient an initial dose of 500 mL of the 5% albumin solution is given as rapidly as tolerated. If response within 30 minutes is inadequate, an additional 500 mL of 5% albumin solution may be given. The 50 mL dosage form would be appropriate for pediatric use, with a dose of 10-20 mL per kg of body weight infused intravenously at a rate up to 5-10 mL per minute. Therapy should be guided by the clinical response, blood pressure and an assessment of relative anemia. If more than 1000 mL are given, or if hemorrhage has occurred, the administration of packed red blood cells may be desirable.<br />
<br />
In severe burns, immediate therapy should include large volumes of crystalloid with lesser amounts of 5% albumin solution to maintain an adequate plasma volume. After the first 24 hours, the ratio of albumin to crystalloid may be increased to establish and maintain a plasma albumin level of about 2.5 g/100 mL or a total serum protein level of about 5.2 g/100 mL. However, an optimal regimen for the use of colloids, electrolytes and water after severe burns has not been established.<br />
<br />
The infusion of Albumin (Human) as a nutrient in the treatment of chronic hypoproteinemia is not recommended. In acute hypoproteinemia, 5% albumin may be used in replacing the protein lost in hypoproteinemic conditions. However, if edema is present or if large amounts of albumin are lost, Albumin (Human) 25% is preferred because of the greater amount of protein in the concentrated solution. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration, whenever solution and container permit.</p>

<p>&nbsp;</p>