Lactated ringer Flashcards
Adult dose of lactated ringer?
Hypovolemic shock: Tirate according to patients physiologic response. Hypoperfusion; 20 mL/Kg IV/IO over 15 minutes
Lacatated ringer adverse reactions / side effects
Rare in therapeutic doses
Lactated ringer pregnancy class
C
Lactated ringer is an isotonic crystalloid solution containing electrolytes
True or false
True
Lactated ringer class
Isotonic crystalloid solution
Lactated ringer drug interactions
Few in the emergency setting
Lactated ringer contraindications
Lactated ringer solution should not be used in patients with heart failure or renal failure
Lactated ringer solution contains;
- sodium (Na+) - 130 mEq / L
- potassium (K+) - 4 mEq / L
- calcium (Ca++) - 3 mEq / L
- chloride (Ci-) - 109 mEq / L
- lactic acid (lactate) - 28 mEq / L (this acts as a
buffer)
Lactated ringer mechanism of action
Lactated ringer solution replaces water and electrolytes
Lactated ringer indications
Hypovolemic shock; keep open IV; hypoperfusion
Neonatal dose of lactated ringer
Hypovolemic shock; titrated according to patients physiologic response. Neonates: Fluid bolus: 10 mL/kG IV given over 5 to 10 minutes; multiple boluses may be administered if the patient remains clinically hypovolemic