Intravenous Fluids (IV Fluids)

Jan. 17, 2025

The West Bengal government recently suspended 12 doctors for “medical negligence” following the death of a woman and a newborn due to the alleged administration of expired intravenous fluid at Medinipur Medical College and Hospital.

About Intravenous Fluids (IV Fluids):

  • IV fluids are specially formulated liquids that are injected into a vein to prevent or treat dehydration.
  • They are used in people of all ages who are sick, injured, dehydrated from exercise or heat, or undergoing surgery.
  • Intravenous rehydration is a simple, safe, and common procedure with a low risk of complications.
  • IV fluid often contains water, glucose (sugar), and electrolytes (potassium, sodium, and chloride).
  • An IV may allow more than one fluid to be given at the same time and into the same place.
  • What are the types of IV fluids?
  • Crystalloid solutions:
  • These are the most common types of IV fluid.
  • They contain small, dissolved molecules that pass easily from the bloodstream into tissues and cells.
  • As a result, crystalloid solutions are readily available to your cells once they travel in.
  • Examples include normal saline, which is salt in water, and D5W, which is dextrose (sugar) in water.
  • Another example is lactated Ringer’s, which contains sodium, chloride, potassium, calcium, and lactate. It’s used for aggressive fluid replacement.
  • Colloids
  • These are large molecules that can’t easily pass through cell membranes and are more likely to stay in the blood vessels.
  • In healthcare terms, this means that colloid solutions, unlike crystalloid solutions, remain intravascular. 
  • Examples include albumin and hetastarch.

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