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    Albumin 20 Per Cent

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    ida
    albumin

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    Albumin 20 Per Cent

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    ida
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    albumin

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    albumin

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    55 views3 pages

    Albumin 20 Per Cent

    Uploaded by

    ida
    albumin

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    King Edward Memorial Hospital &

    Perth Children’s Hospital


    Neonatology

    NEONATAL

    ALBUMIN (HUMAN) 20%


    This document should be read in conjunction with this DISCLAIMER

    Highly Restricted: Requires neonatologist approval before commencing

    HIGH RISK Medication


    There are 2 strengths of Albumin (Human) available, Albumin 4% and Albumin 20%.
    Incorrect product selection could lead to severe circulatory overload.

    Presentation Vial: 200mg/mL (20%) 10mL, 100mL

    Classification Albumin is manufactured from pooled human plasma.


    Please read in with Transfusion Medicine Protocols – Albumin 20%.
    Written consent to blood products required. Refer to
    Transfusion Medicine Protocol – Blood Products (Neonates).

    Indication Plasma protein that maintains plasma colloid oncotic pressure.


     Hypoproteinaemia.
    Used in patients with fluid or sodium restrictions

    Dose Hypoprotinaemia
    IV:
    0.5g - 1 g/kg/dose (2.5mL - 5 mL/kg)
    May be repeated every 1-2 days.

    Monitoring Temperature, pulse, respiration, blood pressure, urine output, electrolyte


    levels.
    Observe for signs of hypervolemia, pulmonary oedema and cardiac
    failure.
    Refer to Transfusion Medicine Protocols – Albumin 20%

    Guidelines & Transfusion Medicine Protocols – Albumin 20%


    Resources

    Compatible Sodium chloride 0.9%, Glucose 5%


    Fluids Glucose 10% and glucose/saline solutions.

    Albumin Human 20% Neonatal Page 1 of 3


    Albumin (Human) 20% - Neonatal

    Preparation Albumin is a clear or slightly opalescent solution.


    If it appears cloudy, do not use. Discard any unused solution.
    Do not use the product if it appears turbid.

    Administration Intravenous infusion:


    Infuse over 30 - 60 minutes. Faster infusion rates may be clinically
    necessary, refer to Neonatologist.
    Refer to Transfusion Medicine Protocols – Albumin 20% for specific
    administration advice.
    Flush with sodium chloride 0.9% after infusion is complete

    Adverse Common chills, fever, vomiting, urticaria


    Reactions Serious Hypertension, vascular overload causing pulmonary
    oedema, cardiac failure, anaphylaxis

    Storage Store below 30 °C. Do not freeze. Protect from light.

    Interactions Water for injections – risk of reduction in tonicity.

    Notes Albumin should be administered through a standard IV giving set


    Do not ‘piggy-back’ onto other lines
    Neonatologist to determine rate of infusion

    Society of Hospital Pharmacists of Australia. Albumin. In: Australian


    References Injectable Drugs Handbook [Internet]. [St Leonards, New South Wales]:
    Health Communication Network; 2019 [cited 2019 Mar 15]. Available
    from: http://aidh.hcn.com.au

    Truven Health Analytics. Albumin(Human). In: NeoFax [Internet].


    Greenwood Village (CO): Truven Health Analytics; 2019 [Cited 2018 Mar
    15]. Available from: https://neofax.micromedexsolutions.com/

    Takemoto CK, Hodding JH, Kraus DM. Pediatric & neonatal dosage
    handbook with international trade names index : a universal resource for
    clinicians treating pediatric and neonatal patients. 24th ed. Hudson
    (Ohio): Lexicomp; 2017. 2,401 p75.
    Zenk KE. Neonatology: management, procedures, on-call problems,
    diseases, and drugs. Gomella TL, Cunningham MD, Eyal FG, editors.
    New York: McGraw-Hill; 2009.
    Shann F. Drug doses. Seventeenth ed. Parkville (Victoria): Collective
    P/L; 2017.

    Albumin Human 20% Neonatal Page 2 of 3


    Albumin (Human) 20% - Neonatal

    Document owner: Head of Department - Neonatology


    Author / Reviewer: KEMH & PCH Pharmacy / Neonatology Directorate
    Date first issued: March 2008 Version: 3.1
    Last reviewed: March 2019 Next review date: March 2021
    Endorsed by: Neonatal Directorate Management Group Date: March 2019
    Standards Applicable: NSQHS Standards:
    1 Clinical Care is Guided by Current Best Practice,
    3 Infection Control
    4 Medication Safety;
    Printed or personally saved electronic copies of this document are considered uncontrolled.
    Access the current version from the WNHS website.

    © Department of Health Western Australia 2018

    Albumin Human 20% Neonatal Page 3 of 3

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