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Table 2 Electrolyte composition of the main balanced solutions available for intravenous administration.

From: Intravenous fluid therapy in the perioperative and critical care setting: Executive summary of the International Fluid Academy (IFA)

 

Crystalloids

Gelatins

Starches

Lactated Ringer’s

Acetated Ringer’s

Hartmann’s

PlasmaLyte

Sterofundin ISOa

ELO-MEL isoton

Isoplex

Gelaspan

Hextend

Tetraspan

Na+ [mEq/L]

130

132

131

140

145

140

145

151

143

140

K+ [mEq/L]

4

4

5

5

4

5

4

4

3

4

Ca2+ [mEq/L]

3

3

4

–

5

5

–

2

5

5

Mg2+ [mEq/L]

–

–

3

3

2

3

1.8

2

0.9

2

Cl− [mEq/L]

109

110

111

98

127

108

105

103

124

118

Lactate [mEq/L]

28

–

29

–

–

–

25

–

28

–

Acetate [mEq/L]

–

29

–

27

24

45

–

24

–

24

Malate [mEq/L]

–

–

–

–

5

–

–

–

–

5

Gluconate [mEq/L]

–

–

–

23

–

–

–

–

–

–

Dextrose [g L-1]

–

–

–

–

–

–

–

–

–

–

Gelatin [g/L]

–

–

–

–

–

–

40

40

–

–

HES [g/L]

–

–

–

–

–

–

–

–

60

60

Dextran [g/L]

–

–

–

–

–

–

–

–

–

–

In-vivo SID [mEq/L]

28

29

29

50

29

45

45.8

56

28

29b

Osmolarity [mOsm/L]

278

277

279

294

309

302

284

284

307

297

  1. In-vivo SID—all organic molecules contained in balanced solutions are strong anions. The resulting calculated SID (in vitro-SID) is equal to 0 mEq/L, due to electrical neutrality. Once infused, the organic molecules are metabolized to CO2 and water; the resulting in vivo-SID corresponds to the amount of organic anions metabolized
  2. aSterofundin-ISO or Ringerfundin
  3. bIn vivo-SID of Tetraspan reported in the Table results from the sum of organic anions; of note, there is a discrepancy as compared to the SID calculated as the difference between inorganic cations and inorganic anions (29 mEq/L vs. 33 mEq/L). No clear explanation has been reported from the seller