Feel free to download this card and print on a 4'' x 6'' index card.
Update 1/4/13: After the posting of this PV card, there was intense discussion about why the D5W osmolarity was 252 mOsm/L instead of 272 mOsm/L, which is found on various medical calculators. See the discussion by Dr. Joel Topf.
@ kidney_boy @ m_lin @ brianjl @ pharmertoxguy Great story.It's not what we know/don't know, it's what we don't know that we don't know.
Has this JAMA study and ongoing discussions of fluid content changed your approach to ED fluid management?
It sure has for me. After 2 liters of normal saline, I consider switching patients to a more chloride-restrictive fluid (we have Plasma-Lyte in our ED). Examples include patients with DKA, AKA, sepsis, and severe dehydration.
Yunos NM, Bellomo R, Hegarty C, Story D, Ho L, Bailey M. Association between a chloride-liberal vs chloride-restrictive intravenous fluid administration strategy and kidney injury in critically ill adults. JAMA. 2012 Oct 17;308(15):1566-72. PubMed PMID: 23073953 .