|Reviewed by clinical practice
There are two types of Albumin used in NICU - Albumex TM4 and
- Both forms of Albumin require informed consent with parents signing an
Agreement to Treatment form (CR0111).
- Both are prescribed on the blood transfusion/IV fluid chart (CR5541)
- Both are ordered via the NZBS requisition form (111F01802)
- Both products are prefiltered so do not require filtering prior to
- For information on checking, administration, monitoring, documentation
and transfusion reactions, see Blood products - red cell transfusion
- Available in two sizes - 500ml and 50ml
- In NICU we usually use the 50ml size.
- 4% albumin is free of risk of transmission of known viral diseases (heat
- Dose = 10-20mls/kg
- Once opened use immediately as the product contains no antimicrobial
- Should be straw colour. Should not be cloudy.
- Albumex TM20 comes in two sizes - 10ml and 100ml and is made from large pools of New Zealand donor plasma
- Albumex TM20 is free of the risk of infectious disease as it
is heat inactivated.
- It is used for babies with low protein and oedema.
Can be utilised 2 ways:
- As a volume expander diluted 1 part to 4 parts of 0.9% sodium
- To draw fluid out of the tissues -use full strength
- Albumex TM20 draws 4 volumes
of fluid from the extra cellular fluid into the circulation.
Thus, 20ml of Albumex TM20 results
in approximately 80ml increase in the circulating volume.
- This can cause volume overload, particularly in the presence of renal
It should be given
undiluted over 1 hour (approximately).
2gm in 10ml is equal to 40ml Albumex TM4.
Once the bottle is opened it must be used straight away.
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