Surgery>>>>>Fluid and Electrolyte Management of the Surgical Patient
Question 8#

Fluid resuscitation using albumin:

A. Is associated with coagulopathy
B. Is available as 1% or 5% solutions
C. Can lead to pulmonary edema
D. Decreased factor XIII

Correct Answer is C

Comment:

Albumin is available as 5% (osmolality of 300 mOsm/L) or 25% (osmolality of 1500 mOsm/L). Due to increased intravascular oncotic pressure, fluid is drawn into the intravascular space, leading to pulmonary edema when albumin is used for resuscitation for hypovolemic shock. Hydroxyethyl starch solutions are associated with postoperative bleeding in cardiac and neurosurgery patients.