IV Fluids for Beginners - When to Use Each IV Fluid Type??
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- เผยแพร่เมื่อ 8 มิ.ย. 2024
- In this video we talk about the different type of IV fluids and how they relate to the human body. We’ll go over some sample scenarios and what each IV fluid is made of.
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This was an excellent video. We were arguing that NS does not have the same osmolality as the body, but typically higher when it comes to sodium chloride. In addition, the osmolality is barely within normal range. It was great that you mentioned that the patient can become expansion acidosis after too much usage.
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Very Good ....😀
how to calculate osmolarity of 5% dextrose in normal saline
great
If a patient presents with hypovolemia, say due to vomiting, why would you not start them out on plasmalyte or LR? I understand the cost may be more, but is cost the only reason?
What amount would typically be "too much" NS? I get that the body would compensate by releasing bicarb into the blood if acidosis was happening, but why not make it easier on the body?
Please which one can I go for? I'm not I'll at all I just want to hydrate myself. Which of these is best to go for please?
Why are pediatric patients given dextrose 4.3 saline 0.18?
Regarding the D5W doesnt it cause hypertonicity since it has a higher osmolarity?
But it's osmolality is 252, which is hypotonic so no
dextrose is used up by the cells, making free water in the vascular system, making D5W hypotonic
I saw the title of this video and said fuck from relief
didnt know Pathoma had a section on fluids
Getting ready to start residency and this has been one topic that I’m truly embarrassed to say I never learned. Other than 4:2:1 rule and dumb junk like that.
I appreciate the effort but video seems incomplete though. What about situation like burns ?
What ifthere is blood loss.
Ringers Lactate is commonly used to replace fluid loss. Given as a bolus in low blood pressure, burns, trauma situations, etc.
We will have to resuscitate the patient in such a case. The type of fluid will depend on the degree of burn, but in severe cases fluids like ringer lactate can be used.
There are several studies and a Cochrane systematic review showing no differences between normal saline and buffered solutions. Plus, there are more and more incoming information advocating against high volumes resuscitation, so. Instead of using useless solutions, start assessing volume overload/depletion before and, in a surgical scenario, use blood to resucitaste, please
D5W IS 252 not 50.. 50mg is in 1L but that's equal to 252meq/L. D5W IS HYDROUS DEXTROSE.(5%)
Also its misleading to say ringers contain bicarbonate. It doesn't, however the lactate is converted to bicarbonate in the liver in a ratio 1:1. Hence 27meq of bicarbonate is converted to 27meq. Ringers is actually containing 4 ingredients Sodium lactate, Sodium Chloride, Potassium Chloride,and Calcium Chloride(dihydrate)
Nice copy and paste, now foh
How come Lactated Ringers is mOsm/L 273 but still considered Isotonic when the minimum mOsm/L for blood is 280?
273 is preeeeetttttyyy, preeeetty, pretty close to 280.
Actually the preparation of ringers depending on the manufacturer the total mOsm/l is between 274 - 277mOsm/l
If you look Na is 130 Cl is 111 K is 4 to 5 , Ca is 2 to 4 , lactate 27 adding the individual mOsm gives you a solution within that range. The normal range of osmolality of blood is around is actually 275 to 295mOsm/L
If a person has diabetic ketoacidosis we give normal saline( ph5.5)but pH of lactic acid is 6.5 then why are we giving normal saline in acidosis if it's pH is 5.5
My opinion that the problem isn’t PH itself the problem with DKA is dehydration so we correct it to help the body to excrete the ketones & we give K with it as will before giving the insulin so if the ketones excreted the ph will improve
Another point ( NaCL will not affect the ph significantly in acute sittings )only if used for long time here we have to put ph level in mind
❤
Why would you give anything with sugar to someone with a BG of 160?
i thought same. i think he meant to say sodium instead of sugar??
Osmosis guy?
watching grey's led me here
the sound is not good I am quite disappointed
You speek very rapidly
what the hell cold voice?
You say "why" too many times. Bad habit making a video.
Thank you