Hepatorenal Syndrome Treatment

Volume expansion: 

 • Albumin (typical dose = 1g/kg on day 1 +/- day 2, followed by 20-40 g/day afterwards)

Vasoconstrictors, either:

 • Midodrine - An alpha- 1 agonist (an oral systemic vasoconstrictor) + Octreotide - Somatostatin analogue (a subcutaneous selective splanchnic vasoconstrictor)

            or

 • Norepinephrine, vasopressin, or terlipressin (intravenous vasoconstrictors; terlipressin is theoretically more specific for splanchnic vessels)



- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedicalLectures/



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