Was just going over some of this with a student. We are in EMS. You presented the information perfectly and will be sharing this video whenever someone has a question about it. Thank you.
@JV-nc1uf2 жыл бұрын
this man doesn’t miss, incredible talks every time thank you!
@jingcliu2 жыл бұрын
Great review, makes me want to use less NS! One thing to note, a little calcium during blood transfusions may not be a bad thing. We routinely give calcium with massive transfusions due to citrate chelation
@melissajedlicka989011 ай бұрын
Thank you! Coming from a veterinarian
@DrNiteshRaj Жыл бұрын
Excellent👍
@zerakhu2 жыл бұрын
Your doings Gods work out here
@joejobzor2 жыл бұрын
Super helpful video, really enjoying these short lectures!!
@joejobzor2 жыл бұрын
Also extremely helpful when you show the trials!
@ConanLiuMD2 жыл бұрын
Thank you!! Glad you like it :D
@michaeljohnpalabrica42332 жыл бұрын
Thank you for sharing your knowledge.
@Sam_19642 жыл бұрын
This is an outstanding review
@andrewcameron6611 Жыл бұрын
I use sea water. It's great !!!!
@doctormanishsharma34112 жыл бұрын
Excellent explanation
@neenahshanelle3 ай бұрын
You mention LR having Crystalites, does this make it high in oxlates?? I find I am often really sore arms and legs after recieving a liter or LR vs Sodium Chloride?? Just curious??
@metipallearuna223 Жыл бұрын
Lactate could be a negative feed back inhibitor of respiratory system if you don't want to know at what dosage it can be toxic to pay operative patients and irreversible as there are no clinical trials against this.
@luscar46712 жыл бұрын
Awesome!!! Thanks
@chchchjia2 жыл бұрын
i’m a nurse on a hem/onc floor and we always use NS for maintenance fluids, rarely LR. always heard it’s bc some pts are at risk for tumor lysis in which the K in LR would further increase their K. But if NS could cause increase in K too now wondering why we only use NS
@ConanLiuMD2 жыл бұрын
Yeah I think a lot of people are afraid of the K in LR elevating potassium in patients. But to be honest, especially at the high rates of fluids heme onc patients are on during chemo, I think LR would almost certainly be better at preventing hyperkalemia than using NS (due to the prevention of acidemia!). It's definitely something that is institution / culture dependent too . . . but I think the evidence definitely would favor using LR in cases of tumor lysis
@shmori10102 жыл бұрын
And also LR interacts with chemo so you NEVER use it in heme/onc patients
@lynhster1 Жыл бұрын
Salt Ed. No difference in mortality between lr and ns 28 day mortality. Lr had better secondary outcomes.
@shellwilliams6306Ай бұрын
In 30 years I've seen more changes in medicine than the auto industry. And, changes happen. But, what about when it comes to Zosyn or other IV meds? Especially on a Med-Surg floor, which is where I work. This is a very simple question, I understand, still, just a basic question to remember for the future. The more I work, the less I feel I know....TOO MANY CHANGES.
@yogeshlakshman84885 ай бұрын
Unless patient is suffering from liver disease, RL will be the better choice This is what I understood
@shellwilliams6306Ай бұрын
NS is always #1 choice on my floor. Why?
@dr.yamanfawal94192 жыл бұрын
Thank you for this video. How about DKA pts? Can I start them on RL in the er rather than NS?