is lactated the preferred choice for hypovolemic shock and why or why not?
2006-07-29 14:37:43 · 4 answers · asked by mdicenzi99 1 in Health ➔ Diseases & Conditions ➔ Other - Diseases
The "preferred choice" is to replace what was lost - ie whole blood. Whole blood is no longer an option and is not practical. In hypovolemic shock, the goal is to restore volume immediately, and generally as long as something is given that can be accomplished short term. Lactated Ringer's is not compatible with blood, so if transfusions are also being given in the same line, then normal saline should be given or the line should be flushed with normal saline prior to hanging blood. However, Ringer's Lactate contains potassium, calcium and lactate in addition to saline so provides more of what the patient needs vs. normal saline alone. More crystalloid (like LR) must be given to restore volume than colloid because it is not retained in the circulatory system as long. Colloids remain in the circulatory system longer and also can pull fluids from the tissues into the vascular system - especially 25% albumin. This could lead to circulatory overload however. One advantage of LR vs a colloid like albumin is cost. LR is much cheaper.
2006-07-29 16:45:59 · answer #1 · answered by petlover 5 · 0⤊ 1⤋
This is a constant source of controversy.
Crystalloid vs colloid and even the preferred solution of either. The bottom line is that the preferred resuscitation solution for hypovolemic shock is the one that you can get your hands on quickly. If the etiology of the hypovolemia is trauma, then blood should also be given ASAP.
2006-07-29 14:44:51 · answer #2 · answered by Anonymous · 0⤊ 0⤋
No. Normal saline.
2006-07-29 14:41:44 · answer #3 · answered by ceprn 6 · 0⤊ 0⤋
what?
2006-07-29 14:46:32 · answer #4 · answered by rera1397 3 · 0⤊ 2⤋