Normal Saline (0.9% NaCl):Composition:
- Sodium (Na+): 154 mEq/L
- Chloride (Cl-): 154 mEq/L
Indications:
- Fluid resuscitation
- Hypovolemia
- Hyponatremia
Contraindications:
- Hypernatremia
- Fluid overload
Lactated Ringer's Solution (LR or Ringer's Lactate):Composition:
- Sodium (Na+): 130 mEq/L
- Potassium (K+): 4 mEq/L
- Calcium (Ca2+): 3 mEq/L
- Chloride (Cl-): 109 mEq/L
- Lactate: 28 mEq/L
Indications:
- Fluid resuscitation
- Dehydration
- Burns
- Acute blood loss
Contraindications:
- Hyperkalemia
- Severe liver disease
5% Dextrose in Water (D5W):Composition:
- Dextrose (Glucose): 5 g/100 mL
Indications:
- Provides free water and calories
- Hyponatremia correction (when combined with electrolyte solutions)
Contraindications:
- Not appropriate for primary volume expansion
- Caution in diabetic patients due to high glucose content
0.45% Saline (Half-Normal Saline or 0.45% NaCl):Composition:
- Sodium (Na+): 77 mEq/L
- Chloride (Cl-): 77 mEq/L
Indications:
- Cellular dehydration
- Maintenance fluids
Contraindications:
- Hypernatremia
- Fluid overload
Dextrose Saline Solutions:
- These solutions combine dextrose and saline in various concentrations, providing electrolytes similar to the corresponding saline solution.
- Indications and contraindications similar to the corresponding saline solutions.
3% or 5% Saline (Hypertonic Saline):Composition:
- Sodium (Na+): 513 mEq/L (in 3% saline)
- Sodium (Na+): 855 mEq/L (in 5% saline)
- Chloride (Cl-): Corresponding to the sodium content
Indications:
- Severe hyponatremia
- Cerebral edema
Contraindications:
- Hypernatremia
- Hyperchloremic acidosis
Plasma-Lyte:Composition:
- Sodium (Na+): 140 mEq/L
- Potassium (K+): 5 mEq/L
- Calcium (Ca2+): 3 mEq/L
- Magnesium (Mg2+): 3 mEq/L
- Chloride (Cl-): 98 mEq/L
- Acetate (CH3COO-): 27 mEq/L
Indications:
- Fluid and electrolyte replacement
- Metabolic alkalosis
Contraindications:
- Hyperkalemia
- Severe kidney dysfunction
Albumin Solution:Indications:
- Hypovolemia
- Hypoalbuminemia
- Burns
- Nephrotic syndrome
Contraindications:
- Severe heart failure
- Known allergy to albumin
Hetastarch (Hydroxyethyl Starch):Indications:
- Volume expansion
- Hypovolemia
Contraindications:
- Renal impairment
- Coagulopathy
- Bleeding disorders