Q: 54 year old female is in ICU with end stage metastatic ovarian cancer. Patient is made DNR/DNI by the family. Patient has painful ascites and palliative large volume paracentesis is planned. Should albumin be given for large volume malignant related paracentesis?
A) Yes
B) No
Answer: No
Large volume paracentesis for malignancy-related ascites usually does not cause hemodynamic issues, so forth albumin infusion is not needed alike other causes of ascites.
Reference:
Halpin TF, McCann TO. Dynamics of body fluids following the rapid removal of large volumes of ascites. Am J Obstet Gynecol 1971; 110:103.
A) Yes
B) No
Answer: No
Large volume paracentesis for malignancy-related ascites usually does not cause hemodynamic issues, so forth albumin infusion is not needed alike other causes of ascites.
Reference:
Halpin TF, McCann TO. Dynamics of body fluids following the rapid removal of large volumes of ascites. Am J Obstet Gynecol 1971; 110:103.
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