Lactated Ringers Solution (Hartmann's Solution) Flashcards
1
Q
LR Classifications
A
Isotonic crystalloid solution
2
Q
LR Mechanisim
A
Volume replacement, water and electrolytes
3
Q
LR Pharmacokinetics
A
Onset: Immediate.
Peak: Immediate.
Duration: Varies depending on disease process
Half Life: N/A
4
Q
LR Indications
A
- Hypovolemia
- Severe Burns
5
Q
LR Contraindications
A
- Patient with CHF or renal failure
- Hypersensitivity to sodium lactate
6
Q
LR Side Effects/Adverse Reactions
A
May induce pulmonary edema if given to patient with history of CHF; otherwise none in EMS
7
Q
LR Dose
A
Adult:
200-250cc IV IO, repeat until BP(systolic) > 90mmHg
Pedi:
20cc/kg IV IO
8
Q
LR Precautions
A
Patients should be monitored for circulatory overload
9
Q
LR Drug Interactions
A
- Additive effects with potassium-sparing drugs; may cause hyperkalemia
- Forms PPT in IV tubing with Ceftriaxone
