This is a question that is often asked. Do we give fluids until the patient no longer "responds to fluids" or start vasopressors early? Should we start early vasopressors in septic shock or wait until fluids resuscitation is complete?Here's my bias: I dislike arbitrarily pounding patients with fluids. It causes harm. We know this. I …
Tag: fluids
Inferior Vena Cava (IVC) POCUS for Resuscitation
Ultrasound assessment of the inferior vena cava for fluid responsiveness: easy, fun, but unlikely to be helpful This is where I stand on the matter today, November 3rd, 2020. I am open to changing my mind with new data. Guiding fluid responsiveness, as I’ve covered here, is a huge pain in the butt. But giving …
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IV Fluid Contents: Do you know your -ish?
More than 50% of residents do not know how much sodium is in 0.9% NaCl. I know you do, though... it's 154mmol/L. Far more than our "normal" of 140mmol/L. You should know your IV fluid contents. Why do I nag so much with intravenous fluids and their contents? Truth be told, I did not know …