Crystalloid fluids - Revision history

Aidan at 21:23, 19 May 2021

2021-05-19T21:23:58Z

← Older revision		Revision as of 21:23, 19 May 2021
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	* Has no effect on acid-base status		* Has no effect on acid-base status
	* Lower risk of [[AKI]] compared to normal saline when used for resuscitation		* Lower risk of [[AKI]] compared to normal saline when used for resuscitation

			== Plastmalyte ==

			* SPLIT cluster RCT saw no difference in [[AKI]] and ICU mortality compared to normal saline, though most patients were not particularly ill

	== D5W ==		== D5W ==

Aidan at 21:21, 19 May 2021

2021-05-19T21:21:57Z

← Older revision		Revision as of 21:21, 19 May 2021
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			{\| class="wikitable"
	{\|
	! Fluid		! Fluid
	! Na		! Na
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	* Isotonic		* Isotonic
	* Causes a metabolic hyperchloremic acidosis, decreasing a normal pH to 7.28 after 2L!		* Causes a metabolic hyperchloremic acidosis, decreasing a normal pH to 7.28 after 2L!
			* Cheapest and most widely available crystalloid

	== Ringer's lactate ==		== Ringer's lactate ==
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	* Contains 28 mmol/L of lactate		* Contains 28 mmol/L of lactate
	* Has no effect on acid-base status		* Has no effect on acid-base status
			* Lower risk of [[AKI]] compared to normal saline when used for resuscitation

	== D5W ==		== D5W ==

Maintenance script: Imported from text file

2020-07-04T01:17:29Z

Imported from text file

New page

{|
! Fluid
! Na
! Cl
! K
! Ca
! Mg
! pH
! Osm
|-
| Plasma
| 140
| 103
| 4
| 4
| 2
| 7.4
| 290
|-
| 0.9% saline
| 154
| 154
|
|
|
| 5.7
| 308
|-
| 0.45% saline
| 76
| 76
|
|
|
| ??
| 154
|-
| Ringer's lactate
| 130
| 109
| 4
| 3
|
| 6.5
| 273
|}

== Normal saline ==

* Isotonic
* Causes a metabolic hyperchloremic acidosis, decreasing a normal pH to 7.28 after 2L!

== Ringer's lactate ==

* Contains 28 mmol/L of lactate
* Has no effect on acid-base status

== D5W ==

* Provides 170kcal/L of dextrose (3L/d can protect against protein breakdown)
* 65% moves intracellularly

[[Category:Critical care]]