ALB and Hyponatremia: Removal of less than 5 L does not appear to have significant hemodynamic consequences [87] (A1), however, in patients with hemodynamic instability (systolic blood pressure < 90 mm Hg), hyponatremia < 130 mmol/L and/or presence of AKI, albumin infusion should be strongly considered for paracentesis < 5 L [88].