4/12/2023 0 Comments Lactated ringer vs normal salineI have been teaching fluids now for 4 years. The vast majority of clinicians, I’m not even talking about nurses, I AM REFERRING TO US DOCTORS, do not know what’s in these bags that are so easy to click in the EMR and order. My embarrassment was deserved.Īfter all, these are substances that we are mindlessly pouring into our patients. I had an ICU attending, a mentor, now someone I’m fortunate to call a colleague, who would pimp the house staff on IV fluids and make us feel ashamed if we didn’t know the answer. Why do I nag so much with intravenous fluids and what’s in them? Truth be told, I did not know my fluid composition as well as I should have even as an intern. More than 50% of residents do not know how much sodium is in 0.9% NaCl per Lobo et al. Link to FULL FREE PDF The majority of residents do not know the contents of the regularly used IV Fluids Management of acute metabolic acidosis in the ICU: sodium bicarbonate and renal replacement therapy. From physiology towards recommendations for daily practice in hospitalized adults. ![]() Fluid-induced harm in the hospital: look beyond volume and start considering sodium. Van Regenmortel N, Moers L, Langer T, Roelant E, De Weerdt T, Caironi P, Malbrain MLNG, Elbers P, Van den Wyngaert T, Jorens PG. Comparison of Balanced Crystalloid Solutions: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Young, Ph.D., Balasubramanian Venkatesh, M.D., Simon Finfer, M.D., and Anthony Delaney, Ph.D.Ĭurran JD, Major P, Tang K, Bagshaw SM, Dionne JC, Menon K, Rochwerg B. Machado, M.D., Ph.D., Sharon Micallef, B.N., John Myburgh, Ph.D., Mahesh Ramanan, M.Med., Todd W. Zampieri, Ph.D., Gian Luca Di Tanna, Ph.D., Tessa Garside, Ph.D., Derick Adigbli, Ph.D., Alexandre B. The major recent clinical trials: SMART, SALT-ED, BASICS, PLUSīalanced Crystalloids versus Saline in Critically Ill Adults - A Systematic Review with Meta-Analysis.Is hyperkalemia something we should really worry about?.Just many projects running simultaneously. This page is quite the mess right now if I am being honest. This page is a work in progress as a IV Fluid guide and will continue to grow throughout the years.
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