Lactated Ringers

Question 1

Classification

Answer 1

Isotonic crystalloid solution

Question 2

Mechanism of Action

Answer 2

• Replaces Fluid & Electrolytes

Question 3

Indications

Answer 3

• Hypovolemic Shock

Question 4

Contraindications

Answer 4

• CHF
• Renal Failure

Question 5

Side Effects

Answer 5

• Pulmonary Edema
• Hypothermia

Question 6

Administration

Answer 6

• Controllable hemorrhage or injury without shock:
  
  • Adult: 100-200 cc/hr (follow local protocol)
• ​Controllable hemorrhage with shock:
  
  • Adult: 10-20 cc/kg (follow local protocol)
• Uncontrollable hemorrhage with shock:
  
  • IV wide open until adequate signs of perfusion. ​
• Pediatric
  
  • ​20 cc/kg: repeat after reassessment, as needed every 5-10 minutes.

Question 7

Special Considerations

Answer 7

• When used, lactated ringers is usually started as a 2nd line after an initial IV of .09% NaCI.
• LR stays in the vascular space only for a short time when compared to other large molecule volume expanders.
• Administer through large-bore IVs
• Contains sodium, potassium, calcium, chloride, and lactate which is metabolized by the liver and converted into bicarb (a buffer).
• Not compatible with some blood products such as whole blood and platelets.