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Gastrointestinal tract secretions, electrolyte composition, and suggested replacement

Gastrointestinal tract secretions, electrolyte composition, and suggested replacement
Source Sodium (mEq/L) Potassium (mEq/L) Bicarbonate (mEq/L) Chloride (mEq/L) Volume (mL/d) Replacement
Gastric 60 10 0 90 2000 to 2500 0.45 NS + 10 K
Pancreatic 140 5 90 to 110 30 to 45 1000 NS + 10 K + HCO3
Bile 140 5 35 100 1500  
Small bowel 100 to 130 15 25 to 35 100 to 140 3500 NS + 10 K
Colon (diarrhea) 50 30 50 50 1000 to 4000 0.45 NS + 20 K
Original figure modified for this publication. From: Parli SE, Pfeifer C, Oyler DR, et al. Redefining "bowel regimen": Pharmacologic strategies and nutritional considerations in the management of small bowel fistulas. Am J Surg 2018; 216:351. Table used with the permission of Elsevier Inc. All rights reserved.
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