RichGotsPots Posted August 7, 2012 Report Share Posted August 7, 2012 I came a across two interestive IV rehydration. Has anyone had either.Ringer's lactate solution- its mainly used for diarrhea Hydroxyethyl starch- its mainly used for Hypovolemic shock, which made me think it would be useful Quote Link to comment Share on other sites More sharing options...
Dizzysillyak Posted August 7, 2012 Report Share Posted August 7, 2012 No. Interesting idea tho. I came accross a third one recently but I can't remember it right now.It was recommended by a dysautonomia or me/cfs doctor tho. I wasn't paying attention because my body is toosensitive to ivs to pursue this. Tc .. D Quote Link to comment Share on other sites More sharing options...
brethor9 Posted August 7, 2012 Report Share Posted August 7, 2012 yeah Dizzy I am with you! After my last go around with saline infusion I would rather just stay dehydrated....I do not want to go through another scary episode like that again Bren Quote Link to comment Share on other sites More sharing options...
RichGotsPots Posted August 9, 2012 Author Report Share Posted August 9, 2012 Well I'm sure adding salt or IV saline (salt water) is the answer if it is true hypovolemia. On the other hand even with tests like Daxor, I'm not convinced of the validity of that test. No doubt we have signs of dehydration, like thirst, fatigue and tachy, but it might be something slightly different than anyone can explain yet... If it was straight up dehydration then salt or water, or saltwater would not help that much. The two above treatments are better options. They used to give IV Saline for diarrhea but it was much less effective.. Quote Link to comment Share on other sites More sharing options...
delphicdragon Posted August 9, 2012 Report Share Posted August 9, 2012 Just read an article on Medscape regarding the starch. In patients with severe dehydration (usually due to blood loss from accidents) the starch worked great initially, but then caused kidney failure - seems like it gummed up the glomeruli. The ER physicians are getting away from using it -- ringer's lactate however, seems to not have that same problem. Since we're considered "healthy" patients, who knows, though I tell nurses to treat me as if I'm in heart failure - everything gets done slower and it seems my body can better adjust.Sara Quote Link to comment Share on other sites More sharing options...
peregrine Posted August 9, 2012 Report Share Posted August 9, 2012 I've had Ringer's pre-POTS for a serious stomach flu (wasn't keeping anything down), and it was wonderful stuff. Quote Link to comment Share on other sites More sharing options...
McBlonde Posted August 9, 2012 Report Share Posted August 9, 2012 I also remember reading an article regarding albumin being added to the IV. I saved it somewhere, but so far, can't find what I did with it! Here's a link that describes fluid replacement in an easy to understand article.http://www.nursingcenter.com/prodev/ce_article.asp?tid=1157503 Quote Link to comment Share on other sites More sharing options...
McBlonde Posted August 9, 2012 Report Share Posted August 9, 2012 Also: Why do we use lactated ringers? Because lactated ringers is most like normal extracellular fluid. If you must give a couple liters of normal saline to a burn patient, you will not harm them but remember that normal saline contains a large amount of chloride. If you give very much chloride to a burn patient there is a potential for metabolic acidosis. Fluid which contains dextrose is not used for two reasons:Does not contain any electrolytes,There is potentially a large amount of adrenaline in the bloodstream which makes these patients glucose intolerant. Their blood glucose levels will increase which will cause their urine output to increase, therefore they will not be getting resuscitated appropriately. http://uuhsc.utah.edu/burncenter/emergencycare/treatment.html Quote Link to comment Share on other sites More sharing options...
surfgirl14 Posted August 14, 2012 Report Share Posted August 14, 2012 Yes. I get 2 liters of lactated ringers twice a week it works for me Quote Link to comment Share on other sites More sharing options...
Dizzysillyak Posted August 14, 2012 Report Share Posted August 14, 2012 Great article mcblondie .. ; ) .. Thanks. I'm always dehydrated despite drinking plenty of water so Imay want to reconsider this. So what kind of doctor knows which iv would be best for which patient ? Whatlabs, if any, do they run to determine this ? My problem with needles is the pain from the puncture area. It can be extremely painful and thepain may last for days or weeks. I'm perfectly fine sometimes too tho. Is it the needle perhaps ?Or maybe the person sticking me ? I stopped doing b12 injections because of residual pain and bruising too tho. I was always soreand rarely noticed any improvement.I had 5 - 6 meyer's cocktails in saline iv last year and the pain lessened after about 3. They were too expensive forme to continue and I never felt better. Other than my veins stopped hurting. Any ideas what thatmeans ? Tc ...d Quote Link to comment Share on other sites More sharing options...
RichGotsPots Posted August 14, 2012 Author Report Share Posted August 14, 2012 They use Ringer's for dehydration because it's like pedialite in IV form. The glucose helps it absorbe better.... If I have to go to the ER again I'm going to ask for it instead of IV saline.. Quote Link to comment Share on other sites More sharing options...
Loulou Posted August 19, 2012 Report Share Posted August 19, 2012 How do you know when you need the IV. Are you just on a schedule or just get it when you need it? Loulou Quote Link to comment Share on other sites More sharing options...
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