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Infusion is a commonly used treatment method in some medical cases. In which, Ringer Lactate 500ml is one of the commonly used infusion solutions. So the question is, what does Ringer Lactate 500ml infusion do?
1. Composition of Ringer Lactate 500ml infusion solution
Ingredients in Ringer Lactate infusion solution include:
Sodium chloride concentration 0.6%, equivalent to 131 mmol/L; Potassium chloride concentration 0.04%, equivalent to 5mmol/L; Sodium lactate concentration 0.25%, equivalent to 29mmol/L lactate; Calcium chloride concentration 0.027%, equivalent to 2mmol/L Ca2+; 111 mmol of Cl- ion/liter. Ringer Latate infusion is available in 250 or 500 ml bottles.
2. What is the effect of Ringer Lactate 500ml?
Ringer Lactate 500ml infusion solution can be used to restore water and electrolytes, and with Ringer Lactate with glucose, it also provides extra sugar for the patient's body.
Ringer lactate solution 500ml has electrolyte composition and pH similar to that of extracellular fluids of the human body, in which lactate ions after entering the body will be quickly converted into bicarbonate ions.
3. Indications and contraindications of Ringer Lactate 500ml
Ringer Lactate 500ml is used for the purpose of correcting water and electrolyte imbalance in the following cases:
Severe dehydration (mainly intracellular dehydration) that cannot be replenished orally in people the patient is in a coma, immediately vomits or drinks or is in a state of collapse; Severe cases of hypovolemia, which need to be quickly compensated with isotonic solutions such as Ringer Lactate 500ml seen in anaphylaxis or hemorrhagic shock; Metabolic acidosis (glucose Ringer Lactate only). Cases of contraindications to the use of Ringer Lactate 500ml infusion
Patients with metabolic alkalosis, heart failure or in a state of fluid retention (mainly extracellular fluid retention); The patient is being treated with Digitalis.
4. How to use Ringer Lactate 500ml infusion solution
The amount and rate of infusion of Ringer Lactate 500ml depends on many factors, the most important of which are clinical symptoms and the results of some biochemical blood tests (such as electrolytes, Hematocrit and urine output. ..).
Dose of Ringer Lactate used in some special cases:
Treatment of severe dehydration diarrhea in children, the dose of Ringer Lactate 500ml can be as recommended by the World Health Organization as follows: Intravenous infusion with dose of 30 ml/kg over 1 hour (children under 12 months) or 30 minutes (children over 12 months to 5 years), then infusion at a dose of 70 ml/kg over 5 hours (children under 12 months) or 2 hours 30 minutes (Children over 12 months to 5 years old). Every 1-2 hours, re-assess the patient's condition to consider whether to continue using Ringer Lactate 500ml infusion or not; Treatment of dengue shock: 20ml/kg infused over 1 hour, then reassess the patient's condition. Overdosage of Ringer Lactate 500ml infusion and treatment:
Mild overdose patients have manifestations such as edema or electrolyte disturbances; Severe overdose can lead to acute pulmonary edema, acute heart failure and possibly death; During the infusion of Ringer Lactate 500ml, if the patient shows signs of edema under the skin, especially accompanied by shortness of breath, the infusion must be stopped immediately. Then consider appropriate treatment measures such as intravenous diuretics, oxygen ...
5. Ringer Lactate 500ml side effects
There have been no reports of side effects from Ringer Lactate 500ml infusion. During the infusion, the patient should promptly notify the doctor of any undesirable symptoms encountered.
6. Some precautions when using Ringer Lactate 500ml
Depending on the specific indication, the rate of infusion of Ringer Lactate 500ml varies accordingly, but most should be infused slowly and closely monitor the patient in terms of clinical as well as biological tests (pay attention to electrolyte concentrations). Avoid using Ringer Lactate 500ml in patients with renal impairment, hyperkalemia or impaired liver function. Do not combine Ringer Lactate 500ml with Phosphate and Carbonate to avoid precipitation. Absolutely do not use Ringer Lactate 500ml infusion for intramuscular injection. Ringer Lactate 500ml infusion solution contains calcium ions, so it should not be infused with blood in the same set of lines because of the risk of clotting.
7. Interactions of Ringer Lactate 500ml
Ringer Lactate 500ml has a calcium component, so when taken together, it can increase the toxicity of Digitalis to the heart. To limit harmful interactions, patients need to inform their doctor about all the medicines they are taking before starting the infusion of Ringer Lactate 500ml.
In summary, Ringer Lactate 500ml infusion solution can be used to restore water and electrolytes, and at the same time, Ringer Lactate with glucose also provides extra sugar for the patient's body. Accordingly, patients need to strictly follow the instructions of doctors and medical staff to achieve the highest efficiency, to avoid unwanted side effects.
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