Q: Patients with hyperkalemia should be given saline as intravenous fluid (IVF)? (select one)
A) with D-5
B) without D-5
Answer: A
Usually, IVF resuscitation is sufficient with normal saline. But in patients with potassium level trending towards higher side (hyperkalemia) adding dextrose with saline may help. Dextrose stimulates the insulin release. It increases the entry of potassium into the cell and helps to lower serum hyperkalemia.
#resuscitation
#electrolytes
#endocrine
Reference:
1. Chin KJ, Macachor J, Ong KC, Ong BC. A comparison of 5% dextrose in 0.9% normal saline versus non-dextrose-containing crystalloids as the initial intravenous replacement fluid in elective surgery. Anaesth Intensive Care. 2006 Oct;34(5):613-7. doi: 10.1177/0310057X0603400511. PMID: 17061636.
2. Ricciuti A, Milani GP, Tarantino S, et al. Maintenance Fluid Therapy with Saline, Dextrose-Supplemented Saline or Lactated Ringer in Childhood: Short-Term Metabolic Effects. Nutrients. 2020;12(5):1449. Published 2020 May 17. doi:10.3390/nu12051449
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