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#170 Hypernatremia is Easy with Joel Topf MD

The Curbsiders Internal Medicine Podcast

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Is D5W the Ideal Fluid?

D5W is a good approximation of water. If the patient's bowels working, and this patient doesn't seem to have any reason that their bowels are not working, like, you know, if you have a Ng or Og or a peg that you can give water,. That's the ideal fluid, and you're going to be doing better with that. Sometimes these calculations, especially for bigger people and higher degrees of hyperditrimia, are huge volumes. And as you give more and more D5W, you run the risk of developing hyperglycemia.

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