ALB and Renal insufficiency: These processes culminate in renal vasoconstriction and hepatorenal syndrome happened.[3,4] Studies have suggested that HRS is functional abnormality in the kidneys and is a potentially reversible syndrome.[2] Therapy with systemic vasoconstrictors and albumin is an effective option to ameliorate renal dysfunction and to improve survival.[5] Terlipressin is the most widely used vasoconstrictor in the world.