Compound Sodium Lactate Dosages

Question 1

INDICATION & DOSE: Traumatic Hypovolemia with Head Injury

Answer 1

Indication= SBP <100mmHg
Dose= 250mL bolus
Repeat until SBP >100mHg
Nil Max

Question 2

INDICATION & DOSE: Traumatic Hypovolemia with NO Head Injury

Answer 2

Indication= Absent radial pulses
Dose= 250mL bolus
Repeat until radial pulse restored
Nil Max

Question 3

INDICATION & DOSE: Burns

Answer 3

Indication= >20% TBSA
Dose= 10mL/kg per hour
Repeat after 1hr
Nil max

Question 4

INDICATION & DOSE: Medical hypo perfusion/hypovolaemia

Answer 4

Indication= (a) ≥2 key signs of shock: Tachycardia; Hypotension; ↑RR; ALOC (Restlessness, Agitation, Confusion);
Skin cold, pale, sweaty, cap refill <2secs
(b) Sepsis w/hypotension. (c) Anaphylaxis w/signs of shock

Dose= 20mL/kg bolus
Repeat while indicated
Nil max

Question 5

INDICATION & DOSE: Cardiogenic Shock

Answer 5

Indication= Haemodynamic compromise & SBP <90mmHg
Dose= 10mL/kg bolus
Repeat once per hr if indicated

Question 6

250mL bolus

Answer 6

Traumatic Hypovolemia with Head Injury, OR Traumatic Hypovolemia with NO Head Injury

Question 7

250mL bolus, repeated until SBP >100mHg

Answer 7

Traumatic Hypovolemia with Head Injury (where SBP is <100mmHg)

Question 8

250mL bolus, repeated until radial pulse restored

Answer 8

Traumatic Hypovolemia with NO Head Injury (where radial pulses are absent)

Question 9

10mL/kg per hour

Answer 9

Burns (>20% TBSA), & Cardiogenic Shock (Haemodynamic compromise + SBP <90)

Question 10

20mL/kg bolus, Repeat while indicated, Nil max

Answer 10

Medical Hypoperfusion/Hypovolaemia (eg. Anaphylaxis, Adrenal crisis, Sepsis)

Question 11

10mL/kg bolus, Repeat once per hr if indicated

Answer 11

Cardiogenic Shock (where pt has haemodynamic compromise & SBP <90mmHg)

Question 12

Pelvic Fracture w/ head injury

Answer 12

Indication= Traumatic Hypovolaemia where pt has head injury & SBP <100mmHg
Dose= 250mL bolus
Repeat until SBP >100mHg
Nil Max

Question 13

Femur Fracture w/head injury

Answer 13

Indication= Traumatic Hypovolaemia (head injured) with SBP <100mmHg
Dose= 250mL bolus
Repeat until SBP >100mHg
Nil Max

Question 14

Pelvic fracture with no head injury

Answer 14

Indication= Traumatic hypovolaemia (non-head injured) with absent radial pulses
Dosage= 250mL bolus
Repeat until radial pulse restored
Nil Max

Question 15

Femur fracture with no head injury

Answer 15

Indication= Traumatic hypovolaemia (non-head injured) with absent radial pulses
Dosage= 250mL bolus
Repeat until radial pulse restored
Nil Max

Question 16

Anaphylaxis

Answer 16

Indication= Medical Hypoperfusion/ Hypovolaemia- Anaphylaxis with signs of shock (eg. hypotension, tachycardia, skin cool/pale/sweaty, tachypnea, ALOC)
Dosage= 20mL/kg bolus
Repeat while indicated
Nil max

Question 17

Adrenal Crisis

Answer 17

Indication= Medical Hypoperfusion/ Hypovolaemia- 2 or more key signs of shock (eg. hypotension, tachycardia, skin cool/pale/sweaty, tachypnea, ALOC)
Dosage= 20mL/kg bolus
Repeat while indicated
Nil max

Question 18

Sepsis

Answer 18

Indication= Medical Hypoperfusion/ Hypovolaemia- Sepsis with hypotension
Dosage= 20mL/kg bolus
Repeat while indicated
Nil max

Question 19

STEMI with SBP <90

Answer 19

Indication= Cardiogenic Shock (haemodynamic compromise & SBP <90mmHg)
Dosage= 10mL/kg bolus
Repeat once per hr if indicated

Question 20

Cardiac Arrest secondary to Anaphylaxis

Answer 20

Protocol= Medical Hypoperfusion/ Hypovolaemia- Anaphylaxis with signs of shock
Dosage= 20mL/kg bolus (irrespective of any previous administration), Repeat while indicated, Nil max