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Too Much IV Fluid? Part 2: Albumin, LR vs. Normal Saline, and Fluid Creep in the ICU
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In Part 2 of our IV fluids conversation, Dr. Michael is back to talk about which fluid to give and why it matters. We cover crystalloids, colloids, and hypertonic fluids. We get into albumin and the SAFE trial, why normal saline can cause a non-anion gap metabolic acidosis, and the “lactic from LR” myth. Michael also explains why he reaches for Plasma-Lyte or Normosol and how he uses hypertonic bicarb in septic shock.
We also dig into the hidden fluid most people don’t count: fluid creep from drips, antibiotics, and electrolyte diluents. We also cover the ROSE model of…
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