title: Review of the rapid normalization of serum albumin with modified total parenteral nutrition solutions.
abstract: The theoretical basis for the rapid normalization of hypoalbuminemia is contingent on recognition of those clinical circumstances requiring rapid and prolonged repair of colloid oncotic pressure. Standard total parenteral nutrition (TPN) solutions repair serum protein only after prolonged periods of therapy. Nutritionists have empirically observed that adding albumin to TPN solutions can quickly normalize hypoalbuminemia for sustained periods. Infusion of similar quantities of albumin without TPN results in no prolonged normalization. The mechanism of the rapid normalization of serum albumin with albumin-modified TPN solutions has yet to be determined, as has its relationships to prevention of hypoalbuminemia-associated morbidity and mortality.
authors.affiliation: Division of Surgical Nutrition, University of Health Sciences, Chicago Medical School, IL.
authors.forename: M V
authors.initials: MV
authors.lastname: Kaminski
authors.forename: S D
authors.initials: SD
authors.lastname: Williams
mesh_terms: D004064:Digestive System / Q000503:physiopathology; D006801:Humans; D009997:Osmotic Pressure; D010289:Parenteral Nutrition, Total; D010953:Plasma Volume; D003668:Pressure Ulcer / Q000503:physiopathology; D018805:Sepsis / Q000503:physiopathology; D012709:Serum Albumin / Q000008:administration & dosage / Q000032:analysis* / Q000172:deficiency; D012769:Shock / Q000503:physiopathology
chemical_list: D012709:Serum Albumin