In the table below, I present the indications for use and the precautions to keep in mind in the use of isotonic fluids:
D5W | Indications | Fluid and loss dehydration; Hypernatremia; |
Precautions | -Solution becomes hypotonic when metabolized; -Use cautiously in renal patients; -Don’t use for resuscitation; | |
Ringers Lactate | Indications | Dehydration; Hypovolemia; Acute blood loss; Burns; Gastrointestinal track fluid loss; |
Precautions | -Patient with liver disease cannot metabolize lactate; -Contains potassium and can cause hyperkalemia in renal patients; -Lactate is converted into bicarbonate by liver | |
NaCl 0,9% | Indications | Shock; Fluid challenges; Resuscitation; Blood loss; Hyponatremia; DKA; |
Precautions | -Can lead to fluid overload; -Use with caution in patients with heart failure, edema or hypernatremia; |