Osler Collection

IV Fluids & Electrolytes

Crystalloid choice, hyponatraemia, hyperkalaemia, fluid tolerance, stewardship and paediatric fluids — physiology to the sick patient.

12 resources

This collection provides insights into the use of intravenous fluids and electrolytes, focusing on conditions like hyponatraemia and hyperkalaemia. It is intended for clinicians and students involved in patient care, particularly in critical and pediatric settings.

01Guidelines & protocolsClinical Practice Guidelines - Intravenous fluidsGeneral Medicine· 9 pagesRead: Choice of Fluid · p. 5Start here — IV fluids clinical guideline
02Clinical reviewsBody fluid compartmentsGeneral Medicine· 21 pagesThis document discusses the distribution of body fluids, their compartments, and the mechanisms of solute transport across cell membranes.Body fluid compartments
03Clinical notesCOMPOSITION OF COMMONLY USED CRYSTALLOIDSCritical Care· 2016· 1 pagesThis document provides a detailed table outlining the composition of various commonly used crystalloid solutions in clinical practice.Crystalloid composition cheat-sheet
04Clinical reviewsBALANCED MULTIELECTROLYTE SOLUTION VERSUS SALINE IN CRITICALLY ILL ADULTSThe George Institute for Global Health, AustraliaIntensive Care Medicine· 2022· 12 pagesThis study investigates whether the use of balanced multielectrolyte solution (BMES) instead of saline reduces the risk of acute kidney injury or death in critically ill patients.Balanced solutions vs saline
05Guidelines & protocolsCORRECTING HYPONATREMIA: FASTER OR SLOWERUC Irvine School of MedicineNephrology· 2026· 4 pagesThis document discusses the treatment guidelines for correcting hyponatremia, focusing on the rates of correction and their impact on patient outcomes.Correcting hyponatraemia safely
06Clinical reviewsNACL 3% BOLUS THERAPY AS EMERGENCY TREATMENT FOR SEVERE HYPONATREMIA: COMPARISON OF 100 ML VS 250 MLDepartment of Internal Medicine, Rijnstate Hospital ArnhemInternal Medicine· 2023· 6 pagesThis study compares the efficacy and safety of 100 mL versus 250 mL NaCl 3% rapid bolus therapy as initial treatment for severe hypotonic hyponatremia.3% saline bolus strategy
07Guidelines & protocolsTREATMENT OF HYPERKALEMIA IN ADULTSNephrology· 3 pagesThis document discusses the treatment options for hyperkalemia in adults, including the use of intravenous calcium in patients with ECG changes.Hyperkalaemia treatment
08Clinical reviewsSODIUM POLYSTYRENE IS UNSAFE AND SHOULD NOT BE PRESCRIBED FOR THE TREATMENT OF HYPERKALEMIA: PRIMUM NON NOCERE!Université de Lorraine, Centre d’Investigations Cliniques- Plurithématique, CHRU Nancy; Princess Grace Hospital, Monaco; University of Michigan School of MedicineNephrology· 2023· 9 pagesThis document discusses the safety concerns associated with the use of sodium polystyrene sulfonate for treating hyperkalemia, highlighting its poor tolerability and lack of evidence for chronic use.Why sodium polystyrene is unsafe
09Clinical reviewsINTRAVENOUS FLUID THERAPY IN ACCORDANCE WITH KIDNEY INJURY RISK: WHEN TO PRESCRIBE WHAT VOLUME OF WHICH SOLUTIONKoc University School of Medicine, Istanbul, Turkey; Universidad Autonoma de Madrid; Vall d’Hebron University Hospital, Universitat Autònoma de BarcelonaNephrology· 2023· 9 pagesThis narrative review updates the approach to intravenous fluid therapy in hospitalized patients, focusing on the timing, type, amount, and infusion rate of fluids, particularly in the context of acute kidney injury (AKI).Fluids & kidney injury risk
10Clinical reviewsUnnecessary fluid therapy in patients with shock Five classic fluidAntwerp University HospitalIntensive Care· 9 pagesA narrative review describing common errors in intravenous fluid management for shock patients and proposing practical, physiology‑based solutions.Read: p. 1Five classic fluid errors in shock
11Clinical reviewsTHE EMERGING CONCEPT OF FLUID TOLERANCE: A POSITION PAPERDepartamento de Medicina Intensiva, Facultad de Medicina, Pontificia Universidad Católica de Chile; Anesthesia & Surgery Critical Care Service, Hospital Universitario Puerta del Mar, Cádiz, Spain; Chief of Service, Intensive Care Unit, Hopital SantaCritical Care Medicine· 2022· 6 pagesThis position paper reviews the concept of fluid tolerance in the context of fluid resuscitation, particularly in emergency and critical care medicine. It proposes a working definition and introduces clinical signals for assessing fluid tolerance.Fluid tolerance
12Guidelines & protocolsIntravenous Fluids for Children Beyond Newborn PeriodHospitalPediatrics· 9 pagesA clinical practice guideline outlining safe prescription, monitoring, and management of intravenous fluids for children aged 1 month to 18 years, including assessment, resuscitation, maintenance, electrolyte monitoring, and special clinical scenarios.Paediatric IV fluids

Collection updated Sep 2026· Access follows each resource's usual availability.

Resources in this collection