You are treating a patient who is hypertensive and has crackles in the bases of her lungs. She prefers to remain sitting and is short of breath. After providing high-flow oxygen you determine the need to initiate an intravenous line in case you will need to administer medication, such as a diuretic. Which of the following fluid choices is MOST correct?
a. 0.9% NaCl at 100cc/hour
b. Dextran
c. Lactated Ringer's solution at a wide-open rate
d. Dextrose 5% in water at a TKO rate
d
Rationale: a. An isotonic solution will expand the intravascular volume resulting in worsening of an overload condition.
b. Dextran is a volume expander and not a good choice for this patient.
c. An isotonic solution will expand the intravascular volume resulting in worsening of an overload condition.
d. Correct.
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