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#103 Fluids: 5 Pearls Segment

Core IM | Internal Medicine Podcast

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Is Lactated Wringers a Good Solution for Hypercalcemia?

The problem child may be all that extra chloride, which can lead to acidosis and trick your kidney into reducing your g f r by tubula glamariler feedback. So just to sum up, balanced solutions like lactated wringers are at least as good, if not better, than normal saline for kidney outcomes immortality. The teaching point here is that proteins like albumen stay specifically in the intervascular space. And then on top of that, it can even pull in interstetal fluid into the blood vessels.

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