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- Crystalloids |
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D5W:
Dextrose
50g/L, 252 mOsm/L. Hypotonic!
A
good fluid for replacement only in dehydrated patients (with concentrated serum
electrolytes). Be
Careful… Too much D5W will flood plasma proteins and other
molecules (electrolytes) and cause a big bummer of an imbalance that can lead to
dangerous interstitial and cellular edema, cerebral edema (bad for patients and
nurses), and an electrolyte imbalance swinging in the opposite direction (too
diluted). Don’t let the really
new docs or the really old docs order this as maintenance fluid on a
normovolemic patient! Remember,
normal fluids for normal (volemic) patients… Think of trying to make your
CoolAid sweeter by adding more water to it (duh.. it doesn’t work).
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