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Question

Which one of the following statements regarding the composition of common crystalloid solutions is correct?

The correct answer is
Hartmann's solution contains 111 meq/L of Cl

Crystalloid Solution Composition Analysis

This section analyzes the electrolyte concentrations in common crystalloid solutions, namely Normal Saline and Hartmann's Solution (Lactated Ringer's), to identify the correct statement regarding their composition.

Normal Saline Composition Facts

Normal Saline, chemically 0.9% Sodium Chloride ($NaCl$), contains:

  • Sodium ($Na^+$): 154 meq/L
  • Chloride ($Cl^-$): 154 meq/L

Hartmann's Solution Composition Facts

Hartmann's Solution, also known as Lactated Ringer's, typically contains:

  • Sodium ($Na^+$): 131 meq/L
  • Chloride ($Cl^-$): 111 meq/L
  • Lactate: 29 meq/L
  • Potassium ($K^+$): 4 meq/L
  • Calcium ($Ca^{++}$): 3 meq/L

Statement Evaluation

Comparing the established compositions with the given statements:

  • Statement 1: Normal saline contains 100 meq/L of $Na^+$. This statement is incorrect. Normal saline has 154 meq/L of $Na^+$.
  • Statement 2: Hartmann's solution contains 111 meq/L of $Cl^-$. This statement is correct. Hartmann's solution contains 111 meq/L of $Cl^-$.
  • Statement 3: Normal saline contains 130 meq/L of $Cl^-$. This statement is incorrect. Normal saline has 154 meq/L of $Cl^-$.
  • Statement 4: Hartmann's solution contains 111 meq/L of $Na^+$. This statement is incorrect. Hartmann's solution contains approximately 131 meq/L of $Na^+$.

Correct Crystalloid Composition

The analysis confirms that the correct statement is that Hartmann's solution contains 111 meq/L of Chloride ($Cl^-$).

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Important Questions from Fluid Balance in Surgery

  1. Which of the following are approximate daily requirements of the common electrolytes in an adult? 

    1. Sodium 50-90 mM/day 

    2. Calcium 1 mM/day 

    3. Potassium 50 mM/day 

    4. Magnesium 1 mM/day 

    Select the correct answer using the code given below.

  2. Oliguria is defined as:
  3. Which of the following is NOT considered as an indicator of adequate fluid resuscitation?

  4. Non-cardiac cause of raised central venous pressure include all of the following except :
  5. The central venous pressure (CVP) is low in
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