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Crystalloid Compositon - Normal Saline, Lactated Ringers, PlasmaLyte
#Pharmacology #Crystalloids #Contents #Comparison #Table #Normosol #Plasmalyte #LactatedRingers #NormalSaline
Comparison #Table #Normosol ... #NormalSaline #NS ... #LR #IVFluids
IV Fluids - Comparison Table
Fluid - pH - Osm - Na - Cl - Other
 •
IV Fluids - Comparison ... Normal Saline (NS ... Lactated Ringer's (LR ... EmmGeezee #IV ... #Fluids #IVF #Comparison
Drug Treatment of Anaphylaxis and Allergic Reactions
First-Line Therapy 
 - Epinephrine 
 - Oxygen 
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- Oxygen - IV ... fluids: NS or LR
Crystalloid Fluids - Contents Comparison Table
Normal plasma
0.9% saline (a.k.a. "normal saline" or NS)
0.45% saline (a.k.a. 1/2
Crystalloid Fluids ... normal saline" or NS ... saline (a.k.a. 1/2 NS ... Lactated Ringers (LR ... #IVF #Contents
Simplified Approach to Acute Kidney Injury (AKI)
1) IS THIS AN EMERGENCY? 
Is there a dialysis indication
Kidney Injury (AKI ... PROBLEM ~80% of AKI ... Trial isotonic fluids ... (NS or LR) • ... LorinskyMD #AKI
Hyperkalemia - Diagnosis and Management - GrepMed Handbook

S/Sx: Most pts asymptomatic. Weakness, cramping, nausea, paresthesias, palpitations,
hypovolemia) - Use LR ... Bicarb<22) - avoid NS ... • Calcium 2-3g IV ... neb or 0.5 mg IV ... • Epinephrine IV
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
• Establish IV ... IV's, Consider IL NS ... /LR infusion • ... veins, dilated IVC ... Septic Aggressive IVF
Diuresis in Critical Care - Achieving a Negative Fluid Balance
Advantages Of A Negative Fluid Balance:
 •
people with sepsis, AKI ... RESUSCTIATION • SWITCH IV ... DIURETICS which are short ... for removal of fluids ... improved survival in AKI
Acute Kidney Injury (AKI) - Management Principles
Prerenal - Correct hemodynamic derangements:
 • If low preload →
Kidney Injury (AKI ... low preload → IV ... FluidsIf high ... → Diuretics • If ... EricsMedicalLectures/ #AKI
Pediatric Trauma Primary Survey: C-ABCDE
C - Catastrophic Bleeding - Life-threatening hemorrhage
 • Apply direct pressure/compression bandage
pelvic fracture • NS ... up to 40 mL/kq IV ... PRBCs 10-20 mL/kg IV ... 1000-2000 mg) IV ... 5-15 mg/kg/hr IV