Albumin - Neonatal guidelines

Neonatal Guidelines & Protocols
Prof. Dr. Rafiq
Neonatal Unit, Dept. of Pediatric Medicine Unit 1,
Services Institute of Medical Sciences, Services Hospital, Lahore.

Please Note: The search feature is available above if you need to search for a specific guideline or neonatal condition. This page was last updated on 05-11-2025

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Albumin is available in multiple strengths, for example 5%, 20%, etc.

5% albumin means 5g albumin in 100mL volume (or 2.5g in 50mL volume, or 0.5g in 10mL volume).

20% albumin means 20g albumin in 100mL (or 10g in 50mL, or 2g in 10mL volume)

Caution: If you do not check percentage of albumin available, there may be overdose leading to circulatory overload and heart failure.

Reminder: Albumin is a blood product, get informed written consent before infusion. 

Reminder: Allow albumin to reach room temperature before infusion.

Reminder: Must mention the batch number of albumin vial on medication chart where signatures are done ny staff nurse at the time and date of infusion.

Caution: Check expiry date on vial before infusion.

Dilution: Compatible with Normal Saline 0.9%.  5% albumin may be given without dilution. 20% albumin may be diluted in thi way before infusion (1mL of 20% albumin to be diluted in 3mL of Normal Saline 0.9%).  Do not dilute with distilled water as it can then cause hemolysis.

Infusion time: Infuse over 3 hours.

Furosemide: inj furosemide 0.5mg per kg to be given post albumin infusion.

Read the detailed guideline at this link.