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Basic Concepts of Fluid and Electrolyte Therapy

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Table 9: Properties <strong>of</strong> commonly prescribed crystalloids<br />

Plasma* 0.9% Hartmann’s Lactated Ringer’s<br />

Ringer’s acetate<br />

NaCl<br />

(USP)<br />

Na + 135-145 154 131 130 130<br />

(mmol/l)<br />

Cl – 95-105 154 111 109 112<br />

(mmol/l)<br />

[Na + ]:[Cl – ]<br />

ratio<br />

1.28-1.45:1 1:1 1.18:1 1.19:1 1.16:1<br />

K + 3.5-5.3 0 5 4 5<br />

(mmol/l)<br />

HCO 3–<br />

/ 24-32 0 29 28 27<br />

Bicarbonate (lactate) (lactate) (acetate)<br />

precursor<br />

(mmol/l)<br />

Ca 2+ 2.2-2.6 0 2 1.4 1<br />

(mmol/l)<br />

Mg 2+ 0.8-1.2 0 0 0 1<br />

(mmol/l)<br />

Glucose 3.5-5.5 0 0 0 0<br />

(mmol/l)<br />

pH 7.35-7.45 4.5-7.0 5.0-7.0 6-7.5 6-8<br />

Osmolarity<br />

275-295 308 278 273 276<br />

(mOsm/l)<br />

* Normal laboratory range from Queen’s Medical Centre, Nottingham<br />

46

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