Ringer lactate

Ringer lactate

Prepared by: Samah-Almekhlafi

DR: MOHAMMED ABUHAJEB
 Ringer lactate
Definition :
Lactated Ringer’s solution is an intravenous fluid that doctors
use to treat dehydration and restore fluid balance in the body.
The solution consists primarily of water and electrolytes.

Other names for lactated Ringer’s solution include Ringer’s lactate solution and
sodium lactate solution.

What is it, and how does it work?

Lactated Ringer’s solution, or simply “lactated Ringer’s” (LR), is one of two

intravenous (IV) fluids that doctors commonly use to restore hydration and fluid
balance in the body. The other solution is saline.

LR is an isotonic fluid, meaning that it has the same osmotic pressure, or weight,
as blood. Osmotic pressure is a measure that takes into account solutes, such as
electrolytes, and solvents, such as water. About 1 liter Trusted Source of LR is
sufficient to restore blood volume to its normal levels.

LR also provides the body with sodium lactate, which it can use Trusted Source as
fuel in conditions of reduced or restricted blood flow and oxygen.

As an alkalizing agent, LR also helps reduce the levels of acidity within the body.
Therefore, doctors may use the solution to treat high acid levels resulting
from sepsis or other conditions.

A doctor may administer LR alone or alongside other medications or nutrients.

Components of RL :
The contents of Ringer's lactate include sodium, chloride, potassium, calcium, and
lactate in the form of sodium lactate, mixed into a solution with an osmolarity of
273 mOsm/L and pH of about 6.5.

Side effects

Side effects due to LR are rare, and those that do occur are more commonly the
result of an intolerance or allergic reaction to the solution. Some rare side effects,
which occur at the injection site, include:

• allergic reactions, such as localized hives, itching, or swelling

• discoloration or streaking
• infection

Risks

Overall, LR has few associated risks. However, any type of IV fluid administration
may lead to complications for people with one or more of the following conditions:

• congestive heart failure

• chronic kidney disease
• liver failure
• hypoalbuminemia, which is the medical term for low levels of the protein
albumin in the blood