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For decades, Normal Saline (0.9% NaCl) has been the go-to fluid in trauma and head injury, it’s familiar, cheap, and easy to store. But there’s a problem, it’s not normal. And in patients with potential head injuries, it may actually make things worse. Normal saline contains a high chloride concentration (154 mmol/L), much higher than what’s in human plasma (~100 mmol/L). When we infuse large volumes, that excess chloride leads to hyperchloremic metabolic acidosis. Acidosis does three key things
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Magnesium is a mineral that is important for normal bone structure in the body. People get magnesium from their diet, but sometimes magnesium supplements are needed if magnesium levels are too low. Low magnesium levels in the body have been linked to diseases such as osteoporosis, high blood pressure, clogged arteries, hereditary heart disease, diabetes, and stroke. Foods that are high in fiber are generally high in magnesium. Dietary sources of magnesium include legumes, whole grains, vegetable
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