March 2021

Abstract 1: Balanced Crystalloids vs Saline in Adults with DKA

EMA 2021 March26 Chapters

  1. Introduction4:02
  2. Ultra Summary31:52
  3. Time To Talk A Little Nerdy: Logical Fallacies19:46
  4. Farewell1:29

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Jason S. -

Hi guys,
I've listened to several balanced crystalloids versus saline episodes on emRap. I hear the benefits, but one disadvantage I've been dealing with is crystalloid incompatibility (especially with antibiotics). Any thoughts on this?

Joris T. -

We switched over to balanced solutions about 2 years ago. The issue with antibiotics (and other medication) came up with our pharmacy as well. Seems that instead of incompatible often it is just not published and as it was not published to be compatible, it is classified as INcompatible. We use regular NaCl to dissolve any drugs that seem to be incompatible but do give it over the same IV line (without mixing, but just in between). Bolus medication also just go over the same IV line.
Hope that helps.

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