Comments on: Normal Saline

By: CBEMT

CBEMT — Fri, 19 Mar 2010 15:27:19 +0000

We’re still required to carry it. The old school guys use it as their second line in trauma, and we all use it for major burn patients. It is also the fluid of choice in the morgan lens protocol.

I also know that our OB/GYN hospital uses it pretty much exclusively.

By: medicscribe

medicscribe — Fri, 19 Mar 2010 11:51:40 +0000

ICU Nurse-

Interesting. Maybe Ringers will make a comeback here.

-Peter

By: ICU Nurse

ICU Nurse — Fri, 19 Mar 2010 08:18:15 +0000

In my part of the UK, we seem to be favouring Hartmann’s solution (similar to Lactated Ringer’s) for crystalloid fluid resuscitation. Saline is definitely very much out of vogue. I think this is due to the risk of precipitating a hyperchloraemic acidosis with large volumes, and also screwing up sodium concentration in the bloodstream.

By: medicscribe

medicscribe — Fri, 19 Mar 2010 01:27:05 +0000

You are right. The PH of Ringers is closer to the ph of tears.

-Peter

By: Matt

Matt — Thu, 18 Mar 2010 19:03:29 +0000

I don’t think that it matters a whole lot, but the rumor is that LR is better for flushing out eyes than saline.

Also, I have a friend that tamponades his vein with is big toe. He used to start the line in his foot because then he could use both hands, but the veins are too small and squirrely. He always feels much better, too.