This is corrected Na I presume? Also, does hypotension influence your
subsequent boluses? Do you have any specific rate of fall of glucose or
osmolarity that you are targeting?=20
Your 20 year blemish free record is cetainly impressive!
> -----Original Message-----
> From: Rohn, Reuben M.D. [SMTP:[log in to unmask]]
> Dear Dr. Steele:
> We have been using the following approach for over 20 years
> any untoward problems.
> We administer 10-20cc/kg bolus over one hour (not exceeding =
> we infuse =BD NS with 20-40 mEq/L K as Acetate or Acetate + =
> correcting the deficit over 48hrs for serum Na <150 mEq/L or over
> 72hrs for
> Na > 150. We add 5% Dextrose when serum glucose is < 500mg/dL. We do
> replace urine losses except in DI.
> Reuben D. Rohn
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