Normal Saline VS Lactate Ringer's - Which Is Better?

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What is the evidence behind these IV fluids, and which should we be using in our patients? I'll be discussing this in this video as well as addressing colloids vs crystalloids and common myths regarding balanced crystalloid fluids!

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Was just going over some of this with a student. We are in EMS. You presented the information perfectly and will be sharing this video whenever someone has a question about it. Thank you.

romeoaranjon

Great review, makes me want to use less NS! One thing to note, a little calcium during blood transfusions may not be a bad thing. We routinely give calcium with massive transfusions due to citrate chelation

jingcliu

Unless patient is suffering from liver disease, RL will be the better choice

This is what I understood

yogeshlakshman

Super helpful video, really enjoying these short lectures!!

joejobzor

In 30 years I've seen more changes in medicine than the auto industry. And, changes happen. But, what about when it comes to Zosyn or other IV meds? Especially on a Med-Surg floor, which is where I work. This is a very simple question, I understand, still, just a basic question to remember for the future. The more I work, the less I feel I know....TOO MANY CHANGES.

shellwilliams

You mention LR having Crystalites, does this make it high in oxlates?? I find I am often really sore arms and legs after recieving a liter or LR vs Sodium Chloride?? Just curious??

DeannaNeenahShanelle

Lactate could be a negative feed back inhibitor of respiratory system if you don't want to know at what dosage it can be toxic to pay operative patients and irreversible as there are no clinical trials against this.

metipallearuna

i’m a nurse on a hem/onc floor and we always use NS for maintenance fluids, rarely LR. always heard it’s bc some pts are at risk for tumor lysis in which the K in LR would further increase their K. But if NS could cause increase in K too now wondering why we only use NS

chchchjia

Salt Ed. No difference in mortality between lr and ns 28 day mortality. Lr had better secondary outcomes.

lynhster

Thank you for this video. How about DKA pts? Can I start them on RL in the er rather than NS?

dr.yamanfawal

NS is always #1 choice on my floor. Why?

shellwilliams

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