The IV Fluid Guide: 0.9% NaCl, Ringers Lactate, Plasmalyte & Albumin

This page is a work in progress as a IV Fluid guide and will continue to grow throughout the years. Last updated on 3/3/22. This page is quite the mess right now if I am being honest. I will get it together at some point. Just many projects running simultaneously. Table of Contents for the …

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0.9% NaCl vs. Ringer’s Lactate: Which Increases Potassium?

People worry about the potassium levels in Lactated Ringer's aka (Ringers Lactate) but what if I were to tell you that there's more hyperkalemia with saline? 0.9% saline is 154mmol/L of sodium and 154mmol/L of chloride. That's it. There's no potassium, calcium, magnesium, nor buffering agent in there. Ringer's lactate, however, has 130mmol/L of sodium, …

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Does using Balanced Crystalloids vs. Saline improve mortality in sepsis?

Sometimes we need to make minor adjustments in what we do in the ICU to see a difference. I have been going off for several years now on my instagram account as well as YouTube channel regarding the importance of utilizing balanced crystalloids such as lactated ringers or plasma-lyte and I keep on hearing "there's …

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