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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]]
>=20
> Dear Dr. Steele:
>       We have been using the following approach for over 20 years
> without
> any untoward problems.
>       We administer 10-20cc/kg bolus over one hour (not exceeding =
1L).
> Then
> we infuse =BD NS  with 20-40 mEq/L  K  as Acetate or Acetate + =
Phosphate
> 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
> not
> replace urine losses except in DI.
>=20
> Sincerely,
> Reuben D. Rohn
>=20
>      =20
>                 =20
> =09
>=20
>=20
 
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