Lactated Ringers Flashcards
Lactated Ringer’s Solution
Classification
Isotonic crystalloid solution
Lactated Ringer’s Solution
Mechanism of Action
Volume Replacement, water and electrolytes
Lactated Ringer’s Solution
Onset of Action
Immediate
Lactated Ringer’s Solution
Peak Effects
Immediate
Lactated Ringer’s Solution
Duration of Effect
Varies depending upon disease process
Lactated Ringer’s Solution
Half-life
N/A
Lactated Ringer’s Solution
Indications/Field Use
Hypovolemia
Severe Burns
Lactated Ringer’s Solution
Contraindications
Pts with congestive heart failure or renal failure
Hypersensitivity to sodium lactate
Lactated Ringer’s Solution
Side effects/Adverse reactions
May cause pulmonary edema if given to patient with hx of CHF; otherwise none in EMS
Lactated Ringer’s Solution
Adult
200-250cc IV/IO, repeat until BP systolic>90mmHg
Lactated Ringer’s Solution
Pedi
20cc/kg IV, IO
Lactated Ringer’s Solution
Precautions
Pts should be monitored for circulatory overload
Lactated Ringer’s Solution
Drug-Drup Interactions
Additive effects with potassium-sparing drugs; may cause hyperkalemia; forms PPT in IV tubing with Ceftriaxone