Lactated Ringers (Harmann's Solution®)

Question 1

LR - Class

Answer 1

Isotonic Crystalloid Solution

Question 2

LR - Actions

Answer 2

• Increases fluid volume in the circulatory system

* Replaces water & electrolytes

Question 3

LR - Indications

Answer 3

• Fluid replacement
• Electrolyte replacement
• Burn patients

Question 4

LR - Dosage/Route

Answer 4

• IV drip/TKO/Wide Open/fluid challenge/calculated drip rate

Question 5

LR - Side Effects

Answer 5

None with normal use

Question 6

LR - Contraindications

Answer 6

• Hyperkalemia
• CHF
• Edema/Sodium retention
• Renal failure (relative, depending on volume status)

Question 7

LR - Special Information

Answer 7

• Contains lactic acid that acts as a buffer
• Monitor patient to prevent circulatory overload
• May use in patients with suspected head injury to maintain cerebral perfusion

Question 8

LR - Pediatric Note

Answer 8

• Refer to Pediatric Drug Guide
• 20 ml/kg initial bolus in shock; 20 ml/kg/hr maximum maintenance dosage
• Use of Volutrol or similar tubing is recommended