Dr. Elisa Mazzaferro provides case-based learning to highlight the 20 most important considerations for our hospitalized patients. **ADDENDUM 1/8/18 - Dr. Mazzaferro has provided these updates regarding ALBUMIN: Human Albumin: - Delayed and acute hypersensitivity vasculitis has been reported with Human Albumin use: JAVMA 230(6):873-879, 2007; Powell et al J Vet Emerg Crit Care Vol 23(6):598-604 - Low incidence of immune reactions; All associated with previous peritonitis; Slower time of administration suggested; Decreased immunocompetency in hypoalbuminemic dogs: Mathews and Barry J Vet Emerg Crit Care 15(2):110, 2005; Horowitz et al Can Vet J 56(6):591, 2015. Canine Specific Albumin: sporadic availability; Less risk of immunogenicity / reaction Craft and Powell, J Vet Emerg Crit Care 22(6):631, 2012. Access an evaluation form / Earn CE credit: https://www.vetvine.com/article/435/critical-care-2018-evaluation