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Please select the option that best describes you:
Topics:
Nutrition
•
Nephrology
•
Critical Care
•
Hepatology
•
Hospital Medicine
•
General Hospital Medicine
When do you consider giving IV albumin for severe hypoalbuminemia with third-spacing of fluid outside of standard indications (i.e., large-volume paracentesis, HRS, SBP, shock, etc)?
How do you weigh this against initiating artificial nutrition?
Related Questions
What are some practical tips for when a patient's consistently stated goals of care do not correlate with their actions?
How do you recommend incorporating B-lines on lung POCUS as part of evaluating a patient's volume status?
At what initial sodium level do you recommend strict avoidance of overcorrection (e.g., no more than 6 mEq/L in 24 hours) in patients with hyponatremia?
What is your approach to managing concurrent severe SIADH and large-volume malignant ascites when aggressive volume removal appears to exacerbate both symptoms and hyponatremia?
How do you weigh the benefit of urinary catheter placement for strict I/O measurement with the risk of avoidable CAUTI?
What is the role for checking uric acid levels in evaluation of SIADH in hospitalized older adults?
Do you ever consider sodium supplementation to augment diuresis in patients hospitalized with decompensated heart failure, as discussed in a recent systematic review and meta-analysis?
How do you counsel patients on use of creatine monohydrate supplementation during a hospitalization for acute rhabdomyolysis from intense physical training?
Do you consider acute COPD/asthma exacerbation as a common cause of SIADH, or should this be considered a diagnosis of exclusion?
How do you decide when to implement a "renal diet" (i.e., restricting electrolyte and/or fluid intake) in hospitalized patients with renal impairment?