Compound Sodium Lactate

Question 1

Compound Sodium Lactate- Indications

Answer 1

Cardiogenic Shock
Hyperkaleamia
Diving Emergencies
Dehydration
Hyperglycaemia
Medical Hypoperfusion/Hypovolaemia
- Meningococcal Disease
- Anaphylaxis
- Sepsis
New-born Resus
Traumatic Hypovolaemia
Trauma in Pregnancy
Burns
Crush Injuries/ Trapped Pts
Traumatic Cardiac Arrest

Question 2

Compound Sodium Lactate- Adverse Effects

Answer 2

Pulmonary Oedema
Hypothermia
Contribute to Coagulopathies & Exacerbate Acidosis

Question 3

Compound Sodium Lactate- Contraindications

Answer 3

NIL

Question 4

Dehydration

Answer 4

IV/IO- 10ml/kg bolus. NO Repeat. MAX TOTAL DOSE 10ml/kg

Question 5

Traumatic Hypovolaemia- Adult

Answer 5

IV- 250ml bolus. Repeat 250ml until radial pulse/ sys bp 100mmhg (with head injury). NO MAX TOTAL DOSE.

Question 6

Traumatic Cardiac Arrest

Answer 6

IV/IO- 250ml bolus. repeat whilst indicated. MAX TOTAL DOSE 1000ml.

Question 7

Medical Hypoperfusion/ Hypovolaemia

Answer 7

20ml/kg bolus. Repeat whilst indicated. NO MAX

Question 8

Trauma in Pregnancy

Answer 8

IV/IO- 250ml bolus. Repeat to maintian sys bp >90mmhg. NO MAX TOTAL DOSE

Question 9

Cardiogenic Shock

Answer 9

IV- 10ml/kg bolus. Repeat once every 1hr. MAX TOTAL DOSE 20ml/kg.

Question 10

Burns

Answer 10

IV/IO- 10ml/kg bolus. Repeat once per hr. NO MAX

Question 11

Newborn Resus

Answer 11

IV/IO- 10ml/kg bolus. NIL Repeats. MAX TOTAL DOSE 10ml/kg.

Question 12

Traumatic Hypovolaemia- Paed

Answer 12

IV/IO 10ml/kg bolus. Max bolus 250ml. Repeat 10ml/kg to maintain within age range BP. NO MAX

Question 13

Traumatic cardiac Arrest- Paed

Answer 13

IV/IO- 10ml/kg Max bolus 250ml. Repeat once. MAX TOTAL DOSE 20ml/kg

Question 14

Crush Injuries/ Trapped Pts/ Hyperkalemia/ Hyperglycaemia

Answer 14

IV/IO- 10ml/kg bolus. Repeat whilst indicated. NO MAX