LR

[Ronald Bolen]

Hello all,

I have a practice question. We (the military) have recently changed our 
teachings based on experiences in Iraq in relations to the resuscitation 
of trauma patients. One of the big ones is the use of LR. For En Route 
Care (Army & Navy transport) we have changed to using Saline because of 
the label on LR where it states "not to be used in the presence of 
acidosis". Does anyone know of any literature for or against the use of LR 
based on the lactate present in LR? I cannot find anything in my 
Literature searches.

Thanks,

Ron

Ron Bolen, RN, BSN, CEN, CFRN, CCRN, NREMT-P
Clinical Nurse Educator
Education Services
Duke University Health System
919-684-2750 (Office)
919-970-7320 (Pager)