Lactated Ringer’s Solution (Hartmann’s Solution®)

Question 1

Generic/Trade Name

Lactated Ringer’s Solution

Answer 1

Hartmann’s Solution®

Question 2

Generic/Trade Name

Hartmann’s Solution®

Answer 2

Lactated Ringer’s Solution

Question 3

Lactated Ringer’s Solution (Hartmann’s Solution®)

Drug Classification:

Answer 3

Isotonic crystalloid solution

Question 4

Lactated Ringer’s Solution (Hartmann’s Solution®)

Mechanism of Action:

Answer 4

Volume replacement

Water and electrolytes

Question 5

Lactated Ringer’s Solution (Hartmann’s Solution®)

Pharmacokinetics

Answer 5

• Onset of Action = Immediate
• Peak Effects = Immediate
• Duration of Effect = Varies depending upon disease process
• Half-Life = N/A

Question 6

Lactated Ringer’s Solution (Hartmann’s Solution®)

Indications & Contraindications

Answer 6

Indications/Field Use:
• Hypovolemia
• Severe Burns
• Keep open IV

Contraindications:
• Patient with congestive heart failure or renal failure
• Hypersensitivity to sodium lactate

Question 7

Lactated Ringer’s Solution (Hartmann’s Solution®)

Side Effects/Adverse Reactions:

Answer 7

May induce pulmonary edema if given to patient with history of CHF; otherwise none EMS

Question 8

Lactated Ringer’s Solution (Hartmann’s Solution®)

Adult & Pedi Dose:

Answer 8

(ADULT): Wide-open IV, IO until BP(Systolic)>100mmHg, then 100ml/hr

(PEDI): 20cc/kg IV, IO

Question 9

Lactated Ringer’s Solution (Hartmann’s Solution®)

Precautions:

Answer 9

Patients should be monitored for circulatory overload

Question 10

Lactated Ringer’s Solution (Hartmann’s Solution®)

Drug-Drug Interactions:

Answer 10

Additive effects with potassium-sparing drugs ⇒ hyperkalemia

Forms PPT in IV tubing with Ceftriaxone