Articles  |   December 2014
SEE Question
Article Information
Education / CPD / Renal and Urinary Systems / Electrolyte Balance / Quality Improvement / Articles
Articles   |   December 2014
SEE Question
ASA Monitor 12 2014, Vol.78, 37.
ASA Monitor 12 2014, Vol.78, 37.
A recent, large, retrospective study of patients undergoing inpatient, non-cardiac, non-transplant surgery examined postoperative hyperchloremia. Compared to patients with normal serum chloride levels, those with hyperchloremia in the first two days following surgery were most likely to exhibit which of the following?
Sodium chloride crystalloid solution (0.9 percent normal saline [NS]) is the most common intravenous fluid used for intraoperative resuscitation in the United States and other countries. Excessive 0.9 percent NS administration can lead to hyperchloremic metabolic acidosis, a condition typically assumed to be benign and easily managed in the perioperative period. However, little objective data exist regarding the outcome of surgical patients who become hyperchloremic during or after surgery.
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