Changes in potassium level and renal function with balanced crystalloid administration in the emergency department

A common reason that often makes clinicians hesitate to use balanced crystalloids in the emergency department is risk of unexpected hyperkalemia patients with decreased renal function. In this single-center retrospective cohort study, we compared change potassium levels before and after administrating a crystalloid, Plasma Solution A, normal Patients who were administered had an electrolyte follow-up test within 24 hours included. Decreased function was defined as estimated glomerular filtration rate (eGFR) less than 90 mL/min/1.73 m2. total 1134 included, comprising 376 (an eGFR >90 m2) 758 function, mean volume (mL/kg, (SD)) 34.0 (20.1). The administration duration (hr, 13.9 (4.7). (mL/min/1.73 m2, increased from 52.6 (24.4) 68.0 (37.6) (p < 0.05), level (mmol/L, 4.4 (0.6) 4.1 0.05). Altogether, found may not be worsened intravenous approximately 2 L crystalloid department.