1.Should albumin be a conventional medication after gastrectomy?
Yongqi QIAO ; Weihua WANG ; Yuanyuan DAI ; XIEYIBIN
Adverse Drug Reactions Journal 2019;21(3):213-217
A 61-year-old male patient with gastric cancer received routine albumin supplementation after surgery,which resulted in hypoalbuminemia,increased abdominal drainage fluid and pleural effusion.Clinical pharmacists and surgeons did literature reviews and discussions,and finally reached consensuses on albumin administration of patients after gastric cancer surgery.The consensuses were as follows:(1) it is not recommended to conduct albumin supplementation routinely after gastric cancer surgery;(2) albumin is not an effective nitrogen source and it cost too much to be used as a source of postoperative nutrition or protein;(3) for patients with postoperative hypoproteinemia (＜30 g/L),albumin supplementation should be used after the surgical stress response period (day 4 after the surgery) and discontinued when the serum albumin is ＞30 g/L;(4) for patients with peritoneal and/or pleural effusion after surgery,the nature of the effusion should be defined firstly,and albumin can be supplemented only when the transudate is determined.
2.Should albumin be a conventional medication after gastrectomy?
Yongqi QIAO ; Weihua WANG ; Yuanyuan DAI ; XIEYIBIN
Adverse Drug Reactions Journal 2019;21(3):213-217
A 61-year-old male patient with gastric cancer received routine albumin supplementation after surgery,which resulted in hypoalbuminemia,increased abdominal drainage fluid and pleural effusion.Clinical pharmacists and surgeons did literature reviews and discussions,and finally reached consensuses on albumin administration of patients after gastric cancer surgery.The consensuses were as follows:(1) it is not recommended to conduct albumin supplementation routinely after gastric cancer surgery;(2) albumin is not an effective nitrogen source and it cost too much to be used as a source of postoperative nutrition or protein;(3) for patients with postoperative hypoproteinemia (＜30 g/L),albumin supplementation should be used after the surgical stress response period (day 4 after the surgery) and discontinued when the serum albumin is ＞30 g/L;(4) for patients with peritoneal and/or pleural effusion after surgery,the nature of the effusion should be defined firstly,and albumin can be supplemented only when the transudate is determined.
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