Normal SID (Na-Cl) is 38
Fluid that has SID of 38 would be basic b/c it would dilute out the albumin (weak acid)
Fluid that has SID identical to patient's serum bicarb is pH neutral
If SID of fluid is greater than patient's bicarb level then it is alkalotic
If SID of fluid is less than patient's bicarb level then it is acidotic
Fluid that has SID of 38 would be basic b/c it would dilute out the albumin (weak acid)
Fluid that has SID identical to patient's serum bicarb is pH neutral
If SID of fluid is greater than patient's bicarb level then it is alkalotic
If SID of fluid is less than patient's bicarb level then it is acidotic
If SID of fluid is greater than patient's bicarb level then it is alkalotic
If SID of fluid is less than patient's bicarb level then it is acidotic
NS or 1/2NS
(SID = 0) so is acidotic so causes hyperchloremic acidosis
LR
SID of 24-28
D5W
SID of 0
NaBicarb
SID is 892 (very alkalotic) is 8.4%
(SID = 0) so is acidotic so causes hyperchloremic acidosis
SID of 24-28
SID of 0
SID is 892 (very alkalotic) is 8.4%
^Consider balanced solution (LR) in patients with low pH (e.g. DKA)
Acid-base disorders
Metabolic acidosis
Ventilator high pressures
Metabolic alkalosis
Jet Propulsion Fuel 8 toxicity
Respiratory acidosis
Hypercapnia
Respiratory alkalosis