A patient with chronic kidney disease is coming to the operating room for an emergent procedure, which intravenous fluid do you plan to give her?

Abstract

A 56-year-old female with stage 3 chronic kidney disease (CKD) has been diagnosed with acute appendicitis. She has mild hypertension that went undiagnosed for a few years but is now controlled on medication, the name of which she cannot remember. She denies any other medical problems and has no allergies. She states she still makes urine and that she is followed by her nephrologist closely, but unfortunately her renal function has slowly been worsening over the last year. She appears euvolemic and normotensive. You are the anesthesiologist on call and are preparing the operating room for the case, but which IV fluid do you plan to give her?