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Is Cold IV Saline 0.9% the IV fluid of choice in an MH Crisis? And does Cold IV Lactated Ringers (LR) have a place in an MH Crisis or not? Should it be kept with the MH supplies also?

Posted By Administration, Friday, June 6, 2014

Answer:

According to the MHAUS website under “FAQs: General MH Questions: How is MH Treated?” cold isotonic saline for IV infusion and gastric, peritoneal or rectal irrigation is recommended.

If all you had at hand to emergently cool a patient was cold IV lactated ringers solution, it could certainly be used (at least until you could get some isotonic saline to give).

However, would not make a special effort to stock it in an MH cart. Keep things simple and have cold IV saline 0.9% available. Also, LR has a bit more potassium in it than saline and the possibility that a patient may receive a large volume of IV fluid during an MH event could exacerbate the hyperkalemia that often occurs during MH.

Tags:  cold IV  emw  hyperkalemia  isotonic  lactated ringers  potassium  rectal 

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