Ringer's lactate solution for infusion, 200 ml bottle
The drug "Ringer-Lactate Solution" is used for the following indications:
correction of water and electrolyte balance disorders in case of dehydration due to fluid loss during diarrhea, insufficient fluid intake into the body, biliary and intestinal fistulas; restoration of water and electrolyte balance in preparing patients for surgery and in the postoperative period; metabolic acidosis.Composition
1 ml of solution contains (active ingredients):
sodium chloride - 6 mg; potassium chloride - 0.4 mg; calcium chloride dihydrate (calculated as calcium chloride) - 0.203 mg; sodium lactate (calculated as 100% substance) - 3.2 mg.The excipient is water for injection.
Contraindication
Hypervolemia, hypernatremia, hyperkalemia, hyperchloremia, alkalosis, lactic acidosis, severe arterial hypertension, decompensated heart failure, oliguria, anuria, liver failure (due to reduced formation of bicarbonate from lactate), acute renal failure; hypercalcemia; extracellular hyperhydration, pulmonary edema, cerebral edema, hypersensitivity to the components of the drug.
Method of application
Administer intravenously by drip. The dose is prescribed by the doctor depending on the patient's condition. The maximum daily dose for adults is 40 ml/kg/day (on average 2500 ml at a rate of 60 drops/minute). The duration of treatment depends on the patient's condition.
Application features
Pregnant women
No studies have been conducted on the use of the drug "Ringer-Lactated Solution" in pregnant women.
There is no data on the drug passing into breast milk, but caution should be exercised when prescribing the drug during lactation.
Children
Do not use the drug in pediatrics due to the lack of clinical trials.
Drivers
Data are missing due to the use of the drug exclusively in a hospital setting.
Overdose
Overdose or too rapid administration of the solution may lead to disruption of water and electrolyte balance, alkalosis, cardiopulmonary decompensation. In such cases, the administration of the drug should be stopped immediately. Symptomatic therapy should be carried out.
Excessive administration of lactate can lead to the development of metabolic alkalosis, which, in turn, may be accompanied by hypokalemia.
Symptoms: mood swings, fatigue, shortness of breath, muscle weakness, polydipsia, polyuria, impaired thinking, arrhythmia. Muscle hypertonicity, twitching, and tetanic convulsions may develop in patients with hypocalcemia.
Side effects
Electrolyte imbalance:
change in the level of electrolytes (potassium, calcium, sodium, chlorine) in the blood serum; metabolic alkalosis; chloride acidosis.General reactions of the body:
hypervolemia; allergic or anaphylactoid reactions, including hyperthermia, itching, coughing, sneezing, difficulty breathing, localized or generalized urticaria, angioedema.Infusion site changes: inflammation, swelling, rash, itching, erythema, pain, burning, numbness at the infusion site.
Mental disorders: panic attack.
In case of adverse reactions, the administration of the solution should be stopped, the patient's condition should be assessed and appropriate assistance should be provided.
Storage conditions
Store at a temperature not exceeding 25 °C, out of the reach of children. Do not freeze.
Shelf life - 2 years.
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