A 58-year-old man with alcoholic liver cirrhosis is admitted to ICU with hepatorenal syndrome type 1 (HRS-1). His creatinine has risen from 100 to 350...

Question

A 58-year-old man with alcoholic liver cirrhosis is admitted to ICU with hepatorenal syndrome type 1 (HRS-1). His creatinine has risen from 100 to 350 µmol/L over 7 days. He has tense ascites. MAP is 62 mmHg. Urine sodium is

Accepted Answer

IV terlipressin combined with IV albumin (20% human albumin solution)

Answer

IV frusemide infusion

Answer

IV dopamine at 'renal dose' (2 mcg/kg/min)

Answer

IV noradrenaline alone

Answer

Oral midodrine and octreotide

uk-fficm MCQ (SBA): Hepatorenal Syndrome