Instruction for use: Compound solution of sodium lactate [Potassium chloride + Calcium chloride + Sodium chloride + Sodium lactate]

Trade name of the drug – Hartmann's Solution, Ringer lactici, Ringer Lactate Viaflo, Compound Sodium Lactate Bieffe (Lactated Ringer's Hartman's), Compound Sodium Lactate, Hartmann's Solution

The Latin name of the substance Compound solution of sodium lactate [Potassium chloride + Calcium chloride + Sodium chloride + Sodium lactate]

Solutio Natrii chloridi composita (Kalii chloridum+ Calcii chloridum+Natrii chloridum+Natrii lactas) (genus. Solutionis Natrii chloridi compositae (Kalii chloridi+ Calcii chloridi+Natrii chloridi+Natrii lactatis))

Pharmacological groups:

Substitutes for plasma and other blood components in combinations

Regulators of water and electrolyte balance and acid-base balance in the combinations

Model clinical-pharmacological article 1

Pharmacological action. Rehydrating agent, has a detoxification effect. Normalizes CBS, replenishes the deficit of volume of blood circulation, stabilizes the water and electrolyte composition of the blood. The solution is close to isotonic, osmolarity is 290 mOsm / kg.

Indications. Hypovolemia, isotonic dehydration, metabolic acidosis.

Contraindications. Hypersensitivity, hypervolemia, hypertonic dehydration, hyperkalemia, hypernatremia, arterial hypertension, cardiac and / or renal insufficiency, hyperchloremia, alkalosis, hepatic insufficiency (decrease in the formation of bicarbonate from lactate), hyperlactacidemia.

Carefully. Respiratory failure, acute dehydration, simultaneous treatment of glucocorticosteroids.

Dosing. IV by drop infusion, adults average daily dose - 1 liter, children - 20-30 ml / kg. The maximum daily dose is 2.5 liters.

Side effect. Thrombophlebitis, hypervolemia, hyperhydration, hyperchloremia, anxiety; Allergic reactions.

Interaction. NSAID, androgens, anabolic steroids, estrogens, corticotropin, ISS, vasodilators and ganglion blockers increase the risk of hypernatremia; Potassium-sparing diuretics, K + preparations - hyperkalemia. It alkalinizes urine and inhibits excretion of drugs that have an alkaline reaction.

Accelerates the excretion of Li + and salicylates.

Special instructions. It is necessary to conduct a regular blood test to determine electrolytes, pH and PCO2, volume of blood circulation.