Take Home Points Hyperthyroidism can present along a spectrum from the minimally symptomatic to severely decompensated and presentation can vary with age If there are a lot of interconnecting systems complaints consider obtaibning a TSH, t3 and t4 Once you’ve …
Take Home Points When compared to 0.9% saline, lactated ringers is a more balanced solution and more closely resembles our serum. SALT ED and SMART trials show normal saline may increase the occurrence of major adverse kidney events in comparison …
Background: Saline (0.9% sodium chloride) has historically been one of the most common intravenous fluids administered in critically ill adults. However, the supraphysiologic chloride concentration can cause hyperchloremia, metabolic acidosis, renal vasoconstriction and alter immune function. There is nothing normal …
Background: Serial lactate measurements is a common core measure that we follow in septic shock resuscitation. A number of readers have written in enquiring about whether resuscitation with lactated ringers instead of 0.9% saline would lead to increases in serum lactate. …
Take Home Points When looking at pH and bicarb, the differences between VBG and ABG are miniscule. For DKA patients, stick with the VBG as is less painful and has fewer complications. LR is probably a better fluid for the …
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