# #191 Hepatorenal Syndrome Part 2 on Management: 5 Pearls Segment Page: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/191-hepatorenal-syndrome-part-2-on-management-5-pearls-segment Text version: https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/191-hepatorenal-syndrome-part-2-on-management-5-pearls-segment.md Podcast: [Core IM | Internal Medicine Podcast](https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389) Published: 2025-10-22T09:05:07+00:00 Episode link: https://www.coreimpodcast.com/2025/10/22/hepatorenal-syndrome-5-pearls-segment-part-2/ Audio file: https://pscrb.fm/rss/p/audio2.redcircle.com/episodes/682a475c-39ad-4be7-9bef-7f1acf7f1ccc/stream.mp3 Processing state: not_requested JSON: https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/191-hepatorenal-syndrome-part-2-on-management-5-pearls-segment Duration seconds: 1834 ## Resource What really works when treating HRS? Vasoconstrictors like terlipressin vs. norepinephrine vs. midodrine: how do we decide which to use? Do you give albumin? When do you give Lasix or another diuretic? When is the better choice transplant, dialysis, or even palliative care? 🔹 Sponsor : Oakstone CME Use the code "CORE25" for 25% off: https://www.coreimpodcast.com/MKSAP 🔹 Transcript & Show Notes Timestamps: (00:12) | Introduction and Overview of Hepatorenal Treatment (03:38) | Vasoconstrictors Focus: Terlipressin, Norepinephrine, and Midodrine (12:32) | Finding the Right Dose of Albumin and Knowing When to Stop (15:06) | Volume Management: Balancing MAP, Diuretics, and Creatinine (21:42) | Understanding the High Mortality of HRS-AKI (32:30) | Transplant, Dialysis, or Palliation Care Tags: CoreIM, Internal Medicine, Primary Care, Medical Education, IMCore, Physician Assistant, Nurse Practitioner, Medical Student, Hepatorenal Syndrome, HRS-AKI, Cirrhosis, Nephrology, Liver Disease Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy ## Actions - request_transcript: `POST https://stenobird.com/v1/public/podcasts/core-im-internal-medicine-podcast-60389/episodes/191-hepatorenal-syndrome-part-2-on-management-5-pearls-segment/transcription-requests` — Idempotently request low-priority transcript generation for this episode. - read_markdown: `GET https://stenobird.com/podcast/core-im-internal-medicine-podcast-60389/191-hepatorenal-syndrome-part-2-on-management-5-pearls-segment.md` — Read the agent-friendly Markdown representation of this episode resource. A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed. ## Transcript Full transcripts are not published on public pages unless there is a clear rights basis.