Summary
LR and NS are both crystalloid fluids used for resuscitation in trauma patients
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, with LR having a lower chloride content, a higher pH, and similar electrolytes to plasma than NS.
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NS can cause coagulopathy, acidosis, immune dysfunction, edema, and renal vasoconstriction
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, while LR may be more physiologically compatible and preferred over NS.
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However, LR may also have some drawbacks, such as being hypotonic, diffusing to extravascular spaces too quickly, and increasing the risk of thrombotic events.
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The choice of fluid may depend on the patient's condition and the availability of blood products.
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According to
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Summary
Lactated ringers and normal saline are both types of intravenous (IV) fluids. IV fluids are given whenever there is a concern about maintaining fluid balance. Each type of IV fluid has different benefits and drawbacks. Your doctor will decide whether to use lactated ringers or normal saline based on your medical
Lactated Ringers vs. Normal Saline as IV Fluids - WebMD
webmd.com
Summary
This article discusses the debate about which fluids are preferable based on composition, and the evidence that balanced crystalloids, such as lactated ringers (LR) or plasma-lyte, have less harmful associated reactions and are superior in treatment of various illnesses. The article also discusses the potential risks of using balanced crystalloids in septic shock, and the potential benefits of using balanced crystalloids in septic shock include reduced risk of acidosis, decreased risk of major adverse kidney events, and reduced incidence of hyperchloremia.
Lactated Ringers versus Normal Saline: Myths and Pearls in the ED
emdocs.net
Summary
Fluid manufacturers put slightly different components in normal saline compared to lactated Ringer’s. The differences in particles mean that lactated Ringer’s doesn’t last as long in the body as normal saline does. This can be a beneficial effect to avoid fluid overload.
Lactated Ringer’s Solution: Vs. Saline, Uses, Content, Effects
healthline.com
Summary
Lactated Ringer's solution is a sterile solution composed of water, sodium chloride, sodium lactate, potassium chloride, and calcium chloride that is often used in place of saline solution for fluid resuscitation. It is used to treat dehydration, maintain hydration in hospitalized patients unable to keep fluids down, restore body fluids after significant blood loss or a severe burn, keep an IV catheter open, aid in the transport of IV medications into a vein, and flushing wounds and irrigating tissues during open surgery. It is generally safe and well-tolerated but may cause swelling and edema if overused, and injection site pain is the most common side effect.
Lactated Ringer's Solution vs. Normal Saline - Verywell Health
verywellhealth.com
