Which groups of people need to consider albumin supplementation?
Which groups of people need to consider albumin supplementation?
Albumin
is a protein primarily produced by the liver, and it is crucial for maintaining
normal physiological functions in the body. It regulates water balance in the
blood, transports various molecules (such as drugs, hormones, fatty acids), and
helps maintain blood osmotic pressure. The use or supplementation of albumin is
typically suited for the following groups of individuals:
1. Patients with Liver Dysfunction or Liver Diseases
Since
albumin is primarily produced by the liver, individuals with liver dysfunction
(such as cirrhosis, hepatitis) may not be able to produce enough albumin, which
can lead to issues such as edema or ascites. These patients may require albumin
supplementation to restore the balance in their bodies.
2. Patients with Kidney Diseases
Certain
kidney diseases (such as nephrotic syndrome) may cause a loss of proteins,
particularly albumin. These patients may need to supplement albumin to
compensate for the loss and maintain normal fluid distribution and osmotic
pressure.
3. Critically Ill Patients
For
patients who have undergone major surgery, suffered significant trauma, burns,
or severe infections, the level of albumin in their body may drop due to
protein loss. Albumin supplementation can help improve blood volume and
maintain normal blood pressure and fluid balance in these cases.
4. Malnourished Patients
Patients
who are chronically malnourished or unable to consume adequate protein (such as
those bedridden, with poor appetite, or certain disease conditions) may
experience low albumin levels. Supplementing with albumin can help restore
normal protein levels in these individuals.
5. Heart Failure Patients
Severe
heart failure patients may experience fluid accumulation in the body. If these
patients have low albumin levels, it may exacerbate symptoms such as edema. In
these cases, albumin supplementation may help improve their condition.
Important Notes
Albumin
supplementation is typically administered under medical supervision. Excessive
or improper use of albumin can lead to adverse reactions, such as allergic
reactions or excessive fluid accumulation. Patients should undergo thorough
medical evaluation before using albumin.
In
conclusion, albumin supplementation is suitable for individuals with liver,
kidney, heart dysfunction, or those suffering from malnutrition or critical
illness that causes low albumin levels.
References
- Sun, Z., Cai, L., &
Wang, B. (2020). Clinical applications and research progress of albumin. Chinese
Journal of Clinical Medicine, 28(7), 621-625.
- Li, K., Zhu, L., &
Liu, C. (2019). Albumin supplementation in liver and kidney diseases. Clinical
and Experimental Medicine, 17(6), 1022-1025.
- Chinese Medical
Association. (2021). The physiological function and clinical applications
of albumin. Chinese Medical Association Clinical Medicine Section.
- Spencer, E., &
McKee, J. (2019). Clinical Applications of Albumin in Critical Care. Journal
of Clinical Medicine, 8(4), 536-542.
- Mehta, R. L., &
Shah, S. (2020). Albumin therapy in patients with cirrhosis and liver
disease: A review. Journal of Hepatology, 72(1), 23-32.
- Lobo, D. N., et al.
(2008). The role of albumin in clinical practice: A review of the
literature. European Journal of Clinical Nutrition, 62(2), 105-118.
- Lichtenstein, D. A.
(2019). Albumin: A comprehensive review of its biological and clinical
properties. Lancet, 394(10206), 2244-2252.
- Kalantar-Zadeh, K.,
& Dunne, C. (2017). Albumin supplementation in patients with nephrotic
syndrome and renal diseases. American Journal of Kidney Diseases,
70(6), 842-852.
- Schier, M., & Busse,
R. (2021). The importance of albumin in critical care: The therapeutic
potential and challenges. Critical Care Medicine, 49(5), 870-879.
- National Institute for
Health and Care Excellence (NICE). (2022). Albumin in medical treatment. NICE
Guidelines.
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