LR
melrnemtp at aol.com
melrnemtp at aol.com
Wed Aug 29 21:03:19 EDT 2007
I would suggest checking the Journal of Trauma and/or performing a Medline search.? Here is one article addressing the issue.?
http://www.jtrauma.com/pt/re/jtrauma/abstract.00005373-199811000-00010.htm;jsessionid=GWWQvQQ7b25cxnszsp3r1JL1y625C3TJPsz18pzTy162lH6T7lS1!-79285651!181195629!8091!-1
Lactated Ringers is actually preferred?to Normal Saline?in hemorrhagic shock.
Hope this helps...
Melissa Kendrick
-----Original Message-----
From: Ronald Bolen <bolen001 at mc.duke.edu>
To: flightmed at flightweb.com
Sent: Wed, 29 Aug 2007 3:03 pm
Subject: LR
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)
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