Blood vs NS Question

Specialties Emergency

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taidan

15 Posts

250cc of hypertonic may get you 500cc from intracellular volume into the vasculature but how long will this fluid last before it either ends up on the floor or thirdspaced? if a patient is losing so much volume that you cannot maintain any sort of hemostasis with blood component, isotonic crytalloid, and colloid fluid... is a touch of hypertonic fluid going to be the silver bullet and saves the day? On the other hand, the patient is clearly having a bad day so why not try all of the guns in your arsenal.

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I agree the intravascular fluid shift may be fairly temporary but, especially pre hospitaly when Blood products and rapid transfusers aren't always available the extra fluid can usually keep a patient alive untill defintive care, oftentimes from my exp. not possible with vanilla LR or NS

traumamedic

18 Posts

Excellent, you answered everything I was asking about. Thanks.

maturner

124 Posts

I agree the intravascular fluid shift may be fairly temporary but, especially pre hospitaly when Blood products and rapid transfusers aren't always available the extra fluid can usually keep a patient alive untill defintive care, oftentimes from my exp. not possible with vanilla LR or NS

Agreed, if your patient is having a bad day, you do what it takes.

KRVRN, BSN, RN

1,334 Posts

Specializes in NICU.

Ok, clearly showing my lack of ER knowledge here... what is vanilla LR?

taidan

15 Posts

Ok, clearly showing my lack of ER knowledge here... what is vanilla LR?

lol I just meant normal Ringers With nothing added

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