Lactacted Ringer’s (Hartmann’s Solution)

Lactacted Ringer’s (Hartmann’s Solution)

Lactacted Ringer’s (Hartmann’s Solution)
Class
	Isotonic Crystalloid Solution
Action
	Replacement of water and electrolytes (sodium, potassium, calcium, etc.)
Indications
	Dehydration Hypovolemic Shock Burns
Contraindications
	Congestive heart failure Renal failure Hypertension Suspected Hyperkalemia
Precaution
	Monitor for circulatory overload and reaction (itching, swelling, fever, etc.)
Side effects
	Rare allergic reaction Fluid overload
Administration
Rout: IV/IO	Onset: Rapid	Peak effect: N/A	Duration: Short Term therapy
Adult Dose:
	Hypovolemic shock & dehydration: 500 ml IV bolus. Repeat dose and or titrate as needed to target hemodynamic stability. Septic shock: 500 mL/kg IV bolus, repeat to achieve target hemodynamic stability. Cardiogenic shock: 250 mL IV bolus in patients without evidence of fluid overload. Repeat dose and/or titrate as needed to target hemodynamic stability.
Pediatric Dose:
	Shock & dehydration: 20 ml/kg IV bolus over 5 to 10 minute repeat to achieve target hemodynamic stability