Table 2.
Hyperosmolar therapies for ICP management
| Equiosmolar dose | Osmolarity | Sodium concentration | Usual dose | |
|---|---|---|---|---|
| 2% sodium chloride | 3.5 mL/kg | 684 mOsm/L | 342 mEq/L | 250–500 mL | 
| 2% sodium chloride/sodium acetate | 4.1 mL/kg | 588 mOsm/L | 294 mEq/L | 250–500 mL | 
| 3% sodium chloride | 2.5 mL/kg | 1027 mOsm/L | 513 mEq/L | 250–500 mL | 
| 7.5% sodium chloride/sodium acetate | 1 mL/kg | 2196 mOsm/L | 1283 mEq/L | 50–250 mL | 
| 8.4% sodium bicarbonate | 1 mL/kg | 2002 mOsm/L | 1000 mEq/L | 50–100 mL | 
| 23.4% sodium chloride | 0.3 mL/kg | 8008 mOsm/L | 4004 mEq/L | 30 mL | 
| Mannitol 20% | 0.5–1 g/kg | 1098 mOsm/L | n/a | 0.5–1 mg/kg | 
ICP intracranial pressure