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Normal Saline and Lactated Ringers are isotonic solutions, meaning their osmolarity matches that of human blood plasma, so IV administration restores circulating blood volume without triggering osmotic or electrolyte shifts

[DOI] [PubMed] [Google Scholar] 342.Denning DW, Hope WW

The patient received multidisciplinary care involving hepatology, endocrinology, and intensive supportive therapies, including plasma exchange, artificial liver support, corticosteroids, broad-spectrum antibiotics, hepatoprotective treatments, electrolyte replacement, and antithyroid therapy