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Hipoalbuminemia As

Predictor of Poor
Health Outcomes:
How to Manage
Roza Mulyana
Outline

● Introduction
● Albumin and hypoalbuminemia
● Hypoalbuminemia as predictor or poor outcomes
● Hypoalbuminemia management
● Conclusion
Albumin
Normal range 50% total 585 amino acids
3,5-5 g/dL plasma protein

Synthesized by
MW 66 kDa Half life 21 days liver 10-15g/day
Albumin Physiological Roles
Hypoalbuminemia
 3,5 g/ dL
 70% erderly hospitalized patients
 hy[poalbuminemia > decrease in plasma encotic pressure >
leakage of fluid out from the vascular compartement
PATHOPHYSIOLOGY
PATHOPHYSIOLOGY
Institution:
Location:
Name of Degree / Major or Minor:
Graduation Year:
Relevant Honors or Awards:
Hypoalbuminemia predicts poor outcomes…
Management Hypoalbuminemia

Managing the
Nutrional support
underlying disease

Protein that supply the


amino acid building blocks
of albumin synthesis

Enteral feeding is preferred to


parenteral
Management Hypoalbuminemia

Intravenous albumin
administration

Oral protein supplementation


Management Guidelines for intravenous albumin
administration at stanford health care 2017
Hypoalbuminemia
Intravenous albumin administration
Management Hypoalbuminemia

Intravenous albumin administration

Oral protein supplementation


Kandungan Bahan
Kandungan Bahan
Ophiocephalus striatus
Mulyana
Ophiocephalus striatus increase in IGF-1 and albumin levels in erderly
patients with hypoalbuminemia

Gatot
Ophiocephalus striatis extract increased albumin, adiponectin; decreased
TNF-α, & IL-6

Paliliewu
Supplementation of Channa striatus capsule significantly decreased TNF-α,
IFN-ү, and IL-10 levels comparednto baseline
Manfaat ophiocephalus
striatus
● Meningkatkan kadar IGF-1
● Meningkatkan kadar albumin
● Suplementasi protein
● Menrunkan IL-6
● Menurunkan TNF-α

Managing the underlying


Nutritional support
disease
SIMPULAN
• Penelitian menunjukkan hipoalbumin sebagai prediktor outcome
yang kurang baik
• Hipoalbumin disebabkan oleh produksi yang berkurang atau
meningkatnya kehilangan protein
• Menajemen hipoalbumin terutama mengatsi kondisi yang
mendasarinya
• Pemberian albumin infus terbatas untuk indikasi tertentu
• Pemberian suplemen protein oral dapat menjadi alternatiff sumber
asam amino untuk meningkatkan kadar albumin
• Ophicephalus striatus merupakan salah satu protein yang dapat
meningkatkan kadar albumin dan berpotensi memperbaiki kondisi
inflamasi.
Thank You

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