- Sterile intravenous (IV) solution in a 1,000mL flexible plastic bag
- It is used in both adults and pediatric patients to provide a source of electrolytes and water for hydration
Uses
- This solution is indicated for both adults and pediatric patients
- Uses include:
- Fluid and electrolyte replenishment:
- For patients with low blood volume, dehydration, or low blood pressure
- Metabolic alkalosis:
- In cases of fluid loss with mild sodium depletion
- Alkalinizing agent:
- Increases the pH level of the body
- Surgery and trauma:
- Often used to rehydrate or replace fluid loss during and after surgical procedures or in trauma cases
Features
- High-quality container:
- The solution is contained in an EXCEL IV flexible plastic bag that is non-toxic and biologically inert
- Safer materials:
- The container is not made with natural rubber latex, PVC, or DEHP, which reduces the risk of exposure to toxic plasticizers
- Aseptic:
- The solution is sterile, nonpyrogenic, and contains no added bacteriostatic or antimicrobial agen
- Closed system:
- The container-solution unit is a closed system that does not rely on outside air entering during administration
Side effects:
- While generally well-tolerated, side effects and risks can occur, particularly with overuse or in patients with certain medical conditions.
Common and injection-site effects
- Swelling and edema (fluid buildup in tissues) if overused
- Injection site pain, inflammation, swelling, rash, or burning
- Potentially severe side effects
- Electrolyte imbalances:
- Including hyperkalemia (high potassium), hyponatremia, and hypercalcemia
- These can cause irregular heartbeat, confusion, muscle weakness, and other symptoms
- Hypervolemia (fluid overload):
- Too much fluid can lead to conditions like pulmonary edema
- Metabolic alkalosis:
- Excessive administration of the lactate component can worsen or cause this condition
- Hypersensitivity reactions:
- In rare cases, severe allergic reactions like anaphylaxis can occur. Signs include rash, hives, and trouble breathing
Considerations for at-risk patients
Patients with certain conditions, such as the following, are at a higher risk of complications and must be monitored carefully:
- Severe renal impairment
- Severe liver disease
- Congestive heart failure
- Extensive burns or other severe tissue injury
- Hypercalcemia or hyperkalemia
Contents:
- 1,000mL of Lactated Ringer's in IV Bag
- 23 Bags per case
