Albumin treatment along with antibiotic in the setting of SBP(spontaneous bacterial peritonitis) is indicated to prevent the development of hepatorenal syndrome is in all , EXCEPT:
In patients with SBP along with cefotaxime albumin infusion is indicated in the setting , when 1.Serum creatine is > 1 mg/dl 2. BUN > 30 mg/dl 3. Total bilirubin is > 4 mg/dl Dose o f albumin: 1. g/Kg within 6 hours of antibiotic treatment and 1 g/kg on day 3. A decrease in moality from 30%to 10 % is noted. Ref: AASLD practice guidelines:Hepatology, Vol.49 ,No.6 ,2009.
Serum creatine is > 1 mg/dl
BUN > 30mg/dl
Total bilirubin is > 4 mg/dl
INR > 2