Empiric Crystalloid Resuscitation Guidelines by SBE
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Empiric Crystalloid Fluid Resuscitation Guidelines; Edward M. Omron MD, MPH

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General balanced crystalloid fluid guidelines for hypovolemic shock to maintain or restore normal acid-base status during the acute resuscitation phase of critical illness.
Edward Omron MD, MPH, FCCP
Pulmonary, Critical Care Specialist
Morgan Hill, CA 95037

Published in: Health & Medicine, Technology
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Empiric Crystalloid Fluid Resuscitation Guidelines; Edward M. Omron MD, MPH

  1. 1. Empiric Crystalloid Resuscitation Guidelines by SBE 0 10 20 30 40 50 60 70 80 90 -20 -15 -10 -5 0 5 10 15 20 25 SBE (mEq/L) H+(nM/L) 0**344 0**0**1**2 1 0 = HCl infusion (0.1 N) at 100 to 200 cc/ hr, central access (SID = -100), -3 mmol/L to SBE 1 = Normal Saline (SID = 0), -2 mmol/L to SBE 2 = Lactated Ringer’s( SID = 28), 0 mmol/L acid (no change in SBE) 3 = ½ NS with 75 mEq/L NaHCO3 in 1 liter (SID = +75), +4 mmol/L to SBE 4 = 3 Amps NaHCO3 in sterile H20 in 1 liter (SID = +150), +10 mmol/L to SBE ** Acetazolamide 250 mg IVP q12, no more than 500 mg IV qday Dialysis Dialysis Edward M. Omron MD, MPH

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