Consider Lactated Ringer's Over Saline for Fluid Resuscitation

You'll hear debate over using Lactated Ringer's or other balanced fluids instead of normal saline for fluid resuscitation.

Balanced fluids, such as Lactated Ringer's or Plasma-Lyte, are touted as having electrolyte content similar to plasma...while normal saline has higher levels of chloride.

The concern is that large volumes of normal saline can lead to hyperchloremic acidosis...which is associated with acute kidney injury.