Ringer's lactate: functions, dosage, side effects, how to use

Use

What is the function of Ringers lactate?

Ringer's lactate is an intravenous fluid commonly used in adult and pediatric patients as a source of electrolytes and water.

Usually, this liquid medicine is given to dehydrated sufferers who experience electrolyte disturbances in the body.

This medicine is only given by infusion (IV). Ringers lactate cannot be obtained without a doctor's prescription.

According to Healthline, every 100 ml of this medication contains:

• calcium chloride 0.02 grams
• potassium chloride 0.03 grams
• sodium chloride 0.6 grams
• sodium lactate 0.31 grams
• water

How do I take Ringer's lactate?

Here's how to prepare for using Ringers lactate:

• Remove the protective plastic from the sterile port set on the bottom of the container.
• Install the set, referring to the complete instructions included in the set.

To add medicine before administering the solution:

• Prepare the drug holder by removing the additive port cover. Wipe the exposed container before inserting it.
• Using a syringe with a needle size of 18-22, puncture the drug port and deep diaphragm and inject.
• Squeeze and squeeze the port while the port is upright, and mix the solution and medicine thoroughly.

To increase Ringers lactate during the administration of the solution:

• Prepare the medicine holder by removing the additive port cover. Wipe the exposed container before inserting it.
• Using a syringe with a needle size 18-22 of the right length (at least 5/8 inch), a removable drug port puncture and a deep diaphragm and a syringe.
• Remove the container from the IV post and / or change it to an upright position.
• Empty both ports by tapping and squeezing them with the container still in an upright position.
• Thoroughly mix the solution and medicine.
• Return the container to the position of use and continue administering the drug.

How to store Ringer's lactate?

Ringers lactate product is recommended to be stored at room temperature (25 ° C). This medication is best stored at room temperature, away from direct light and damp places. Don't keep it in the bathroom. Don't freeze it.

Other brands of Ringers lactate medicine may have different storage rules. Observe the storage instructions on the product package or ask your pharmacist. Keep all medicines away from children and pets.

Do not flush Ringers lactate down the toilet or down the drain unless instructed to do so. Discard this product when the drug has expired or when it is no longer needed.

Consult your pharmacist or local waste disposal agency about how to safely dispose of the medicine.

Dose

The following information cannot be used as a substitute for a doctor's prescription. You MUST consult your doctor or pharmacist before using Lactate Ringer.

What is the dose of Ringer's Lactate for adults?

Ringers lactate solution is for intravenous (infusion) use only.

The dosage should be directed by the doctor and depends on the age, body weight, clinical condition of the patient and laboratory requirements.

Laboratory procedures and frequent clinical evaluations are essential to observe changes in blood glucose and electrolyte concentrations, and fluid and electrolyte balance during prolonged parenteral therapy.

Administration of fluids should be based on calculated care or fluid replacement needs for each patient.

What is the dosage of Ringer's Lactate for children?

There has not been established adequate safety and effectiveness and well-controlled trials of USP Ringer's Lactate Injection in pediatric patients, however, the use of electrolyte solutions in the pediatric population is referred to in the medical literature.

Warnings, precautions, and side effects identified on the copy of the label should be observed in the pediatric population. Consult your doctor or pharmacist for more information.

In what forms is this medicine available?

Ringer's lactate is available in the following dosage forms and strengths:

• 1000 ml with 5% dextrose
• 500 ml with 5% dextrose

Side effects

What are the possible side effects of Ringer's Lactate?

It is possible that this drug can trigger side effects in some people.

According to Drugs.com, the side effects of Ringer's Lactate solution are:

• Chest pain
• Abnormal heart rate
• Decrease in blood pressure
• Difficulty breathing
• Cough
• Sneezing
• Rash
• Hives, and
• Headache

More serious side effects include:

• Infection in the injection site
• Venous thrombosis or
• Phlebitis in the injection site
• Extravasation, and
• Increased fluid volume (hypervolemia)

Not everyone experiences this side effect. There may be some side effects not listed above.

If you have any concerns about side effects, please consult a doctor or pharmacist.

Precautions and Warnings

What should I pay attention to before using Ringers lactate?

Here are a few things you need to know before using Ringers lactate:

Certain drugs and diseases

Tell your doctor about any medications you are currently using, whether prescription, non-prescription, supplements, or herbal medicines. This is because some drugs may interact with Ringers lactate.

In addition, it is also important to inform your doctor about any diseases or other health conditions that you are currently suffering from. It is possible that this drug can trigger interactions with certain diseases or health conditions.

Allergy

Tell your doctor if you have a history of allergies to Ringers lactate or any of the ingredients in this medicine. In addition, get checked out if you have any other allergies, for example to certain foods, dyes, or animals.

Is Ringer's lactate safe for pregnant and lactating women?

This medicine is considered a pregnancy riskcategory C according to the US Food and Drug Administration (FDA), which is equivalent to the Food and Drug Supervisory Agency (BPOM) in Indonesia. The following is an explanation of the pregnancy risk categories according to the FDA:

• A: It's not risky
• B: No risk in some studies
• C: It might be risky
• D: There is positive evidence of risk
• X: Contraindicated
• N: Not known

In addition, there is insufficient information about the safety of using this medicine in breastfeeding mothers.

Always consult your doctor to weigh the potential benefits and risks before using this medication.

Drug Interactions

What medicines should not be used at the same time as Ringers lactate?

Ringer's lactate does not work well when used in combination with the following medicines:

• ceftriaxone
• mannitol
• methylprednisone
• nitroglycerin
• nitroprusside
• norepinephrine
• procainamide
• propanolol

Are there foods and drinks that should not be consumed while using this medicine?

Certain drugs should not be used when eating certain foods because drug-food interactions can occur.

Smoking tobacco or consuming alcohol with certain drugs can also cause interactions to occur.

Discuss your use of drugs with food, alcohol, or tobacco with your health care provider.

Avoid eating grapefruit or drinking red grapefruit juice while using the medicine unless your doctor allows it.

Grapefruit and grapefruit drugs can increase the risk of interactions. Consult your doctor and pharmacist for more info.

Are there certain health conditions that can interact with this drug?

Be careful when giving solutions containing sodium or potassium to patients with the following conditions:

• Kidney illness
• heart disease
• liver disease
• hypoalbuminemia

Overdose

What should I do in an emergency or overdose?

If there is excess fluid or solutes during parenteral therapy, re-evaluate the patient's condition and undertake appropriate corrective treatment.

If there is an overdose of solutions containing potassium or potassium, stop Ringers lactate infusion immediately and undertake corrective therapy to reduce the serum potassium level.

Treatments for hyperkalemia include:

• Dextrose USO injection, 10% or 25%, contains 10 crystalline units of insulin per 20 g of dextrose, given intravenously, 300 to 500 mL per hour.
• Absorption and exchange of potassium using cyclic sodium or ammonium cation exchange resins, orally and as a retention enema.
• Hemodialysis and peritoneal dialysis. Use of foods or drugs containing potassium should be stopped. However, in the case of digitization, a rapid decrease in plasma potassium concentration can lead to digitalis poisoning.

What should I do if I forget to take / take medicine?

If you forget a dose of this medicine, use it as soon as possible. However, when it is nearing the time of the next dose, skip the missed dose and return to the usual dosing schedule. Make sure you don't double your dose in one shot.

Hello Health Group does not provide medical advice, diagnosis or treatment.