#103 Fluids: 5 Pearls Segment

Core IM | Internal Medicine Podcast

Core IM Team

Mental Health, Education, Health & Fitness, Medicine

4.8 • 1K Ratings

🗓️ 27 April 2022

⏱️ 38 minutes

🔗️ Recording | iTunes | RSS

🧾️ Download transcript

Summary

How much of D5W vs. isotonic saline contributes to intravascular volume? How do you distinguish between oncotic pressure and tonicity? What balanced solutions do you reach for? What is the data behind using colloids like albumin as an intravascular expander? How much do pRBCs stay in the plasma? Show notes, Transcript and References: https://www.coreimpodcast.com/2022/04/27/fluids-colloids-5-pearls-segment/Get CME-MOC credit with ACP: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Time stamps:* 02:14 Intro* 04:26 Pearl 1* 11:08 Pearl 2* 20:43 Pearl 3* 31:06 Pearl 4* 35:06 Pearl 5Tags: IM Core, CoreIM, fluids, hypertonic, volume, crystalloid, tonicity, blood, nephrology, hospital medicine Find the best disability insurance for you: https://www.patternlife.com/disability-insurance?campid=497840 Advertising Inquiries: https://redcircle.com/brands Privacy & Opt-Out: https://redcircle.com/privacy

Transcript

Click on a timestamp to play from that location

0:00.0	This is the Core I Am 5 Pearls Podcast bringing you high-yield evidence-based pearls.
0:10.0	I'm Dr. Shrades Shravabetti and internist at BIDMC.
0:13.0	And I'm Zach Avigon, a second year internal medicine resident at BIDMC.
0:17.0	And today we'll be talking about fluids, the forgotten about drug of internal medicine.
0:22.0	I think one of our take homes here
0:24.2	is that when you're thinking about prescribing IV flu
0:26.7	is to really think about them like you would
0:28.4	any other medication, which one, how much,
0:31.0	how long, and when do you think you can stop?
0:34.0	That's Dr. Samira Farooq, an afroogist at Mount Sinai.
0:37.5	And to better gauge which fluid, how much, how long, and when to stop, we have to understand
0:41.9	what makes up the fluid and where in our body that
0:43.9	fluid goes.
0:44.9	Yes, I cannot wait.
0:46.9	This is the episode that I wish I had heard maybe 10, 15 years ago.
0:51.4	So let's get into the pearls that we're going to be covering today.
0:53.6	Test yourself by pausing after each of the five questions.
0:56.8	Remember, the more you test yourself, the deeper your learning gains.
0:59.8	Pearl 1. Where does fluid go?
1:05.0	How much is one liter of isotonic saline actually contributing to the
1:10.0	intravastular volume? And how does that compare to say a leader of D.Fy W?
1:15.0	Pearl 2, hypatonic fluids.
	...

Please login to see the full transcript.

Previous episode | Next episode

Disclaimer: The podcast and artwork embedded on this page are from Core IM Team, and are the property of its owner and not affiliated with or endorsed by Tapesearch.

Generated transcripts are the property of Core IM Team and are distributed freely under the Fair Use doctrine. Transcripts generated by Tapesearch are not guaranteed to be accurate.