I finished State of the Art Management of ARDS! 🚀
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General Critical Care
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Did you know 🤔
Among the following IV solutions — D5 ½ NS, Albumin, Normal Saline (NS), and Lactated Ringer (LR) — the one with the highest osmolality is D5 ½ NS.
🔎 Here’s why:
Osmolality reflects the number of dissolved particles in a solution.
For electrolytes (Na⁺, K⁺, Cl⁻, lactate), mEq/L ≈ mOsm/L.
Therefore:
Normal Saline (0.9% NaCl): 154 Na⁺ + 154 Cl⁻ = 308 mOsm/L
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HFpEF, RHD, mild MS, MVA 1.65 CM2, MPG, Thickneing AV with dooming, mils AS, PPG 23mmHg, mild to moderate AR
Dilated noth atria
Severely dislted LA
Trace TR, ESPAP 30mmHg
LV notmal in size
Preserved ejection fraction