An intensivist on a learning frenzy. Caring for the critically ill using evidence-based medicine.
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 …
Continue reading The IV Fluid Guide: 0.9% NaCl, Ringers Lactate, Plasmalyte & Albumin
People worry about the potassium levels in Lactated Ringer's (Ringers Lactate), but what if I told you 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, or buffering agent. Ringer's lactate, however, has 130mmol/L of sodium, 109mmol/L of chloride, 4mmol/L of potassium, …
Continue reading 0.9% NaCl vs. Ringer’s Lactate: Which Increases Potassium?
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 …
Continue reading Does using Balanced Crystalloids vs. Saline improve mortality in sepsis?