fluids
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Pharmacology
Isolyte S
Isolyte® S is a balanced crystalloid solution created by B. Braun Medical Inc. As a cardiothoracic anesthesiologist and intensivist, it’s…
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Pharmacology
Banana Bag
The “banana bag” is a colloquial term referring to isotonic crystalloid fluid premixed with thiamine, folic acid, and a multivitamin…
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Medical
Why Does Albumin Create Foam?
If you’ve ever administered albumin, you’ve undoubtedly seen the bubbles and foam while infusing this colloid solution. As the volume…
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Medical
Overnight Fluid Boluses For A “Low MAP”
2 AM: “Hey doc, the patient’s MAP (mean arterial pressure) has been in the high 50s for the last hour.…
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Medical
Stopcock In Blood Warmer Tubing
Over the years, I’ve used many types of fluid warmers from rapid infusers like the Belmont and Level 1 to…
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Education
The Endothelial Glycocalyx
The glycocalyx is a surface layer of proteins lining the luminal (blood-containing) side of vascular endothelium. It plays an important…
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Education
Lactated Ringers And Normosol In Hyperkalemia
As an intensivist and anesthesiologist, I spend a considerable amount of time pondering the physiology and evidence for practices and…
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Pharmacology
Albumin
Albumin is the most abundant globular plasma protein, an important transport protein, and the primary determinant of oncotic pressure (the…
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Pharmacology
ClearFast
The “NPO guidelines” (ie, 8 hours for full meals, 6 hours for light meals, 2 hours for clear liquids) have…
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Pharmacology
Lactated Ringer’s
Lactated Ringer’s (LR) is a balanced crystalloid solution created by Dr. Sydney Ringer in the 1880s using ex-vivo frog hearts.…
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