fluids commonly used in treating shock


Beyond reversing the primary cause of the decreased intravascular volume, fluid replacement (also referred to as fluid resuscitation) is of primary concern. At least two large-gauge intravenous lines are inserted to establish access for fluid administration. Two intravenous lines allow simultaneous administration of fluid, medications, and blood component therapy if required. Because the goal of the fluid replacement is to restore intravascular volume, it is necessary to administer fluids that will remain in the intravascular compartment and thus avoid creating fluid shifts from the intravascular compartment into the intracellular compartment.


Table summarizes the fluids commonly used in treating shock.

Fluid Replacement

Lactated Ringer’s and 0.9% sodium chloride solutions are isotonic crystalloid fluids commonly used in treating hypovolemic shock (Jindal et al., 2000). Large amounts of fluid must be administered to restore intravascular volume because isotonic crystalloid solutions move freely between the fluid compartments of the body and do not remain in the vascular system.





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