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- Colloids |
5 % Albumin:
Contains
50g/L of Albumin, 300 mOsm/L. This is the same concentration of Albumin as that contained
in normal blood plasma. The
advantage is in expanding intravascular volume while at the same time reducing
interstitial and pulmonary edema. Allows
fluid resuscitation to be done with less volume and the results last longer than
with crystalloid resuscitation. More
bang for more money. I myself like
it, but a lot of docs have personal [theoretical] hang-ups about using it.
Because the body sees it as "just as good" as it's own, there
will be a compensatory decrease in
endogenous albumin production. Also,
if a patient has "capillary leak syndrome," administration can
contribute to increased interstitial edema.
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