Human albumin therapy for restoring blood volume, oncotic pressure, and treating albumin deficiency
Under normal circumstances, the concentration of human albumin is 4 to 5 g/kg of body weight, with 40 to 45% intravascular and 55 to 60% extravascular.
Abnormal distribution may occur in cases of severe burns or septic shock.
The half-life of albumin averages approximately 19 days.
Elimination occurs predominantly intracellularly via lysosomal proteases.
Less than 10% of infused albumin leaves the intravascular compartment within the first 2 hours after infusion.
The circulating volume increases 1 to 3 hours after administration.
Balanced distribution between intravascular and interstitial spaces requires 48 hours.
Human albumin is osmotically active and regulates circulating blood volume.
When 50 mL of 20% human albumin is administered intravenously, approximately 175 mL of fluid is returned to circulation within 15 minutes.
The degree of plasma expansion depends on initial blood volume.
The risk of transmitting hepatitis is minimal with human albumin, and blood compatibility testing is not required.
Increasing oncotic pressure in cases of oncotic deficiency
Therapy for albumin deficiency
Emergency treatment of shock and similar states requiring rapid blood volume restoration
Treatment of burns
Hypoproteinemia with or without edema