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Episode 51: Resuscitating and deresuscitating with hypertonic saline, with Sean Barnett

Critical Care Scenarios

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Is It Better to Give It as an Infusion or a Short Burst?

Three % is the most potent stimuli for a stretch of hypertonic atria and nitratic oxide. And you wouldn't recommend administering this as an infusion. You would like to see the bowluses, even if they're relatively small, boluses. One man with very bad injured kidneys got 300 m ls within that first hour, two hours, is believable. He's able to put out two, three undred c cs of urinorfor the next couple of hours. So in that time also, the patient is starting intermittently a desat, and he's having more trouble breathing. They think this is jus a stress response. But they are eager to get some

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