Treat underlying disease
Replacing albumin only indicated in specific disease processes/clinical scenarios
With large volume paracentesis
Concern for SBP and creatinine >1mg/dL, BUN >30mg/dL, or T Bili >4mg/dL
Hepatorenal syndrome
Consider in acute pancreatitis if albumin <2 g/dL
With large volume paracentesis
Concern for SBP and creatinine >1mg/dL, BUN >30mg/dL, or T Bili >4mg/dL
Hepatorenal syndrome
Consider in acute pancreatitis if albumin <2 g/dL
Hypoalbuminemia
Liver disease e.g. cirrhosis 
Proteinuria
Excess renal excretion e.g. nephrotic syndrome, glomerulonephritis
Abnormally colored urine
Excess bowel loss e.g. protein-losing enteropathy in Crohn's
Coagulopathy 
Burns 