Hartmann's Sodium Lactate

Question 1

Pharmacology and presentation of Hartmann’s Sodium Lactate?

Answer 1

1000ml infusion soft pack

Hartmann’s is a sterile solution for intravenous use containing sodium lactate, sodium chloride, potassium chloride and calcium chloride dehydrate. It is considered a balanced crystalloid and has some benefits over normal saline in terms of iatrogenic metabolic acidosis. It is also associated with reduced acute kidney injury post-administration compared to normal saline in certain instances.

Question 2

Indicators of Hartmann’s Sodium Lactate?

Answer 2

• Hypovolaemic shock
• Burn Resuscitation with Parkland formula.

Question 3

Contraindications of Hartmann’s Sodium Lactate?

Answer 3

• Known allergy
• Ceftriaxone in same IV line.

Question 4

Cautions of Hartmann’s Sodium Lactate?

• Failures

Answer 4

• Heart failure
• Renal failure.

Question 5

Side Effects of Hartmann’s Sodium Lactate?

Answer 5

• Fluid overload in excessive administration.

Question 6

Dosing Regimes of Hartmann’s Sodium Lactate?

Answer 6

Hypovolaemic Shock
- Adults & Paeds = 20ml/kg in 250ml boluses, continue boluses until per kg amount reached then reassess. PRN to a total of 40mg/kg

Significant Burns (burns <8hrs old and >20% non superficial TBSA)
- Adapted Parkland Volume = (2x non-superficial (1st degree) TBSA % x pt weight in kg) ml for both adult and paeds, infised at a rate that completes administration in 8hrs post burn event, max of 40ml/kg. Consult for Paeds (>18months and <15years)

Question 7

Onset and duration of Hartmann’s Sodium Lactate?

Answer 7

• Onset = 1 minute
• Duration = Variable