Lactated Ringer's Solution (Hartmann's Solution) Flashcards
1
Q
Classification:
A
Isotonic crystalloid solution
2
Q
Dose
A
Adult = 200-250cc IV, IO, repeat until BP >90mmHg
Pedi= 20cc/kg IV, IO
3
Q
Contraindications
A
- Patient with CHF or renal failure
- hypersensitivity to sodium lactate
4
Q
Pharmacokinetics
A
Onset of action-immediate
Peak effects- immediate
Duration of effect- varies depending upon disease process
Half life- n/a
5
Q
Precautions
A
Patients should be monitored for circulatory overload
6
Q
Drug-drug interactions
A
Additive effects with potassium sparing drugs; may cause hyperkalemia. Forms precipitate (PPT) in IV tubing with Ceftriaxone
7
Q
Indications/Field Use
A
- Hypovolemia
- severe burns
8
Q
Mechanism of action
A
Volume replacement, water and electrolyte
9
Q
Side effects/adverse reactions
A
May induce pulmonary edema if given to patient with history of CHF; otherwise none EMS
