Greetings friends you are listening to the med geeks podcast today's episode is brought to you by

Andy and he is a student who wrote into me at ask medgeeks dot com with the following question

normal saline versus lactated ringers, which is better for the

hypotensive patient? In practice I've seen them used interchangeably, but which is better?

This is a fantastic question and is going to be the subject of today's podcast. What's up y'all this is Eric Gordon the host of the med geeks podcast? To kick things off we're going to go ahead and do the dad joke of the day.

What is the medical diagnosis for owning too many dogs?

Rover dose. Boom. for owning too many dogs.

Rover dose. Boom, that's a good one.

Also, did you know dogs cannot operate MRI machines?

But cats can?

I feel better.

I hope you all feel better after that too.

Now this question of the day that Andy brought up, again, this is a great question that Andy brought up.

And it has to do with how we deal with hypotensive patients.

Before we talk about fluid selection. with hypotensive patients.

Before we talk about fluid selection,

let's discuss the fact that not all hypotensive patients

need fluids.

It depends on what's causing the hypotension.

For example, if you have a trauma patient and there is severe hemorrhage, blood loss,

that could be the cause of hypotension, in which case you don't want to give fluids, you want to give blood, they need a transfusion. Another common example would be

shock. So septic shock, yes give fluids, but what if they have cardiogenic shock?

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