Lactated Ringers Solution

[Concordas]

Can anyone tell me about the pros and cons of Lactated Ringers Solutions vs alternatives? In particular the types of units it tends to be used in and patient types?

[Binkey, BSN]

Dear Concordas,

Lactated Ringers solution is the most frequently given balanced electrolyte fluid. It is an isotonic solution which means its osmolarity is similar to blood plasma (~ 290) When patients have continued nausea/vomiting episodes or hypovolemia this solution is appropriate. It may also be appropriate for those with mild acidosis as the lactate ion converts in the liver to bicarbonate. It should not be given to those with liver disease as they aren't able to metabolize the lactate ion, and should not be given with blood or blood products secondary to the calcium binding with the citrate in the blood.

Hopes this helps.

[suzanne4, RN]

Or a renal failure patient as it contains Potassium.

[Pedi-ER-RN, RN]

Is it safe to use in seizure pts (peds) who have elevated lactic acids? I thought I remember this being contraindicated, but had a doc that wanted to hang it on a seizure patient. All replies will be welcomed, I've become rusty with my fluids and electrolytes!