The difference between sodium lactate Ringer and sodium acetate Ringer
Serial number project
Main components
Composition characteristics 2 points
Instructions 3 Indications
Pharmacokinetic characteristics
Points for special diseases 5 disease states
6 Safety
Clinical applications 7
Differences between sodium lactate Ringer and sodium acetate Ringer
Sodium acetate Ringer
Sodium lactate Ringer
Second generation isotonic equilibrium crystal solution
Sodium acetate, sodium chloride, potassium chloride, calcium chloride, third-generation isotonic equilibrium crystal solution
pH is only 6.5 The osmotic concentration is 273mOsm/l, and the pH and osmotic concentration are closer to the physiological range.
Used for regulating fluid, electrolyte, and acid-base balance in circulating blood volume and between tissues. For dehydration patients with metabolic acidosis or metabolic acidosis
Supplement of extracellular fluid in case of fluid reduction, correction of metabolic acidosis
The metabolism of dextral lactate contained in sodium lactate Ringer is dependent on the metabolism of acetic acid on the liver
Strong dependence on liver function
Small
Hepatic insufficiency, shock or hypoxia, alcoholism, salicylic acid renal insufficiency, cardiac insufficiency,
Poisoning, diabetes ketoacidosis, renal insufficiency, hypertonic dehydration, obstructive urinary tract
diabetes (especially taking biguanide drugs) Be careful with those who have decreased urine output due to diseases.
Triggering hyperprolactinemia, especially when liver function is impaired.
It can effectively avoid the possible hyperprolactinemia caused by sodium lactate Ringer.
When experiencing shock, liver dysfunction, or even failure, sodium acetate Ringer is superior to sodium lactate Ringer. 2. For patients with severe traumatic brain injury and cerebral edema, sodium acetate Ringer is preferred.
3. For patients with hyperprolactinemia, sodium acetate Ringer is preferred.