A buffered
body fluid expander solution, in which the buffer is a physiologically acceptable buffer that is not an
inorganic phosphate buffer, comprises
calcium ions and
magnesium ions at a
concentration ratio of 5:1 to 1:1. The non-
phosphate buffer may be a physiologically acceptable N-substituted aminosulfonic acid buffers, especially those having a pKa value in
aqueous solution of from 7.1 to 7.5 at 2O0C, and most preferably N-
tris(
hydroxymethyl) methyl-2-aminoethanesulfonic acid (TES), 3-(N-
morpholino) propanesulfonic acid (
MOPS), N,N-bis(2-hydroxyethyl)-2-aminoethanesulfonic acid (BES) and combinations thereof. Preferred components include from 100 to 150 (preferably about 135) mmoles / L
sodium ions, from 2.5 to 6.2 (preferably about 5) mmoles / L
potassium ions, from 0.1 to 2.5 (preferably about 1.25) mmoles / L
calcium ions, from 0.4 to 25.0 (preferably about 0.45) mmoles / L
magnesium ions, from 96 to 126 (preferably about 118) mmoles / L
chloride ions, 2 to 11 mmoles / L (preferably about 10) glucose (preferably D-glucose), from 50 to 150 (preferably about 110) μmoles / L
glycerol, from 7 to 15 (preferably about 10) μmoles / L
choline, from 5 to 400 (preferably about 300) μmoles /
L glutamate (preferably L-glutamate), from 5 to 200 (preferably about 20) μmoles /
L aspartate (preferably L-aspartate), from 100 to 2000 (preferably about 400) μmoles /
L glutamine (preferably L-
glutamine), from 15 to 215 (preferably about 60) μmoles / L pyroglutamate, from 20 to 200 (preferably about 100) μmoles / L
arginine (preferably L-
arginine), from 1 to 120 (preferably about 40) nmoles / L
thiamine pyrophosphate (TPP), from 40 to 70 (preferably about 50) μmoles / L D- or DL or L-
carnitine (preferably L-
carnitine), and from 5 to 200 (preferably about 28) ml.U. / L porcine or
human insulin (preferably
human insulin). The solutions are useful for the manufacture of medicaments and
blood volume expanders, for treating
hypovolemia or for treating the loss of
extracellular and
interstitial fluid in subjects suffering with burns, for treating respiratory and / or
metabolic acidosis in a subject, for
perfusion of the
abdominal cavity during
peritoneal dialysis of a subject with acute renal failure or an
acute toxicity condition, for preventing and / or ameliorating
reperfusion injury, and for delivering a therapeutic, test and / or synergistic agent to a subject, including a
biological agent, such as at least one
stem cell,
peptide or genomic derived
protein.