RINGOLACT 1000ML

Ringer Lactate, also known as Lactated Ringer's solution, works by replenishing fluid volume and restoring electrolyte balance in the body. Its mechanism of action involves the presence of sodium, chloride, potassium, calcium, and lactate ions. These ions play crucial roles in maintaining osmotic pressure, acid-base balance, and cellular function. Sodium and chloride help to restore extracellular fluid volume and conduct electrical impulses in nerves and muscles. Potassium is essential for proper heart function and muscle contractions. Calcium is vital for blood clotting, muscle contraction, and nerve transmission. Lactate, which is metabolized to bicarbonate in the liver, contributes to buffering and maintaining the body's pH balance. By providing these essential ions, Ringer Lactate helps to correct fluid and electrolyte imbalances, support tissue perfusion, and promote physiological homeostasis.

Intravenous fluid replacement.

Injection

The following are the uses of Ringer Lactate injection:

• Used for replenishing fluid and electrolyte losses in patients with dehydration
• Used for treating metabolic acidosis, a condition where the body produces too much acid
• Used for maintaining fluid balance during surgery or in intensive care settings
• Used for preventing dehydration in patients with severe vomiting or diarrhea
• Used for providing hydration and nutrient support in patients who cannot eat or drink
• Used for flushing and diluting toxins in the body, especially in cases of drug overdose or poisoning
• Used for correcting electrolyte imbalances, such as low levels of potassium or calcium

In the case of an overdose of Ringer Lactate injection, the primary concern is fluid overload. Symptoms may include swelling, particularly in the hands, feet, and face, along with weight gain, increased blood pressure, and potential heart failure. Prompt medical intervention is necessary to manage the excess fluid, which may involve diuretics to promote urination and reduce the fluid buildup. Monitoring for electrolyte imbalances is also crucial, as this solution contains sodium, chloride, and lactate.

In the case of a missed dose of Ringer's Lactate injection, it is important to administer the missed dose as soon as possible. However, if it is almost time for the next scheduled dose, skip the missed dose and continue with the regular dosing schedule. Do not double the dose to make up for a missed one. If you have any concerns or questions about missed doses, it is best to consult your healthcare professional for guidance. They will provide specific instructions based on your medical condition and treatment plan.

To administer Ringer's Lactate injection, prepare the intravenous line, ensure proper aseptic technique, and slowly infuse the solution at the prescribed rate as directed by a healthcare professional, typically through a vein in the arm or hand.

Following are the conditions/situations when Ringer's Lactate injection should be avoided or used with caution:

• Not recommended for patients with severe liver disease, as it may cause metabolic alkalosis.
• Should be used with caution in individuals with heart failure or severe kidney disease.
• Contraindicated in patients with hyperkalemia (high potassium levels in the blood) as it contains potassium.
• Not suitable for those with severe lung disease or respiratory distress syndrome.
• Avoid if the patient has a known allergy to any of the components in the solution, especially lactate.
• Should not be used in patients with lactic acidosis, a condition where there is an excess of lactate in the body.
• Use with caution in patients with diabetes as it contains glucose and may affect blood sugar levels.
• Not recommended for patients with severe hyponatremia (low sodium levels in the blood).
• Avoid in cases of severe fluid overload or pulmonary edema.

The side effects of Ringer Lactate injection may include:

• Pain, swelling, or redness at the injection site
• Edema (swelling)
• Nausea and vomiting
• Confusion or agitation
• Increased blood pressure
• Electrolyte imbalances (such as high sodium or potassium levels)
• Hyperkalemia (high potassium levels)
• Allergic reactions (including rash, itching, and difficulty breathing)

Following are the precautions and warnings for Ringer Lactate Injection:

• Not recommended for patients with severe liver disease, heart failure, or kidney disease due to the risk of electrolyte imbalances.
• Avoid if the patient is allergic to any of the components, especially sodium lactate.
• Use with caution in patients with conditions like hyperkalemia, hypernatremia, or metabolic alkalosis, as it may worsen these conditions.
• Regular monitoring of fluid balance, electrolyte levels, and acid-base balance is essential during prolonged use.
• Discontinue use if signs of fluid overload, such as swelling or shortness of breath, occur.
• Do not use if the solution is cloudy or contains particles, as it may indicate contamination.
• Infuse with caution in elderly patients and those with cardiac or pulmonary compromise.

Following are the drug interactions for Ringer Lactate Injection:

• Ringer Lactate may interact with lithium, increasing the risk of lithium toxicity by reducing its excretion.
• Concomitant use with loop diuretics like furosemide can decrease diuretic effectiveness and increase the risk of electrolyte imbalances.
• It can reduce the effectiveness of vasopressor agents like norepinephrine due to its volume expansion properties.
• Drugs that affect renal function, such as ACE inhibitors or NSAIDs, may alter the effects of Ringer Lactate and require close monitoring.
• Caution is advised when using with potassium-sparing diuretics as it may lead to hyperkalemia.
• The effectiveness of antihypertensive medications may be reduced due to the sodium content in Ringer Lactate.
• Concurrent use with other intravenous fluids should be carefully monitored to avoid fluid overload.

Following are the food interactions to consider with Ringer Lactate injection:

• Avoid excessive intake of sodium-rich foods, as Ringer's Lactate contains sodium, and high sodium levels can lead to fluid overload and increased blood pressure.
• Limit potassium-rich foods like bananas, oranges, and tomatoes as the solution contains potassium, and excessive potassium intake can affect heart function.
• Restrict calcium-rich foods like dairy products and calcium-fortified juices, as the injection provides calcium, and an imbalance in calcium levels should be prevented.
• Avoid alcohol consumption as it can lead to dehydration and may affect the balance of electrolytes in the body.
• Maintain a balanced diet with moderate salt and sugar intake to support overall health during treatment.
• Ensure proper hydration with water to aid in the distribution and effectiveness of the injected solution.
• Follow dietary guidelines provided by your healthcare professional to manage specific conditions for which Ringer Lactate is administered.

Ringer Lactate Injection should be stored in a controlled room temperature environment, typically between 20°C and 25°C (68°F to 77°F), in its original packaging to protect it from light and moisture. It should be kept away from direct sunlight, extreme temperatures, and heat sources such as radiators or ovens, as these conditions can degrade the solution. Always check the expiration date on the packaging, and never use the injection if it has expired. When disposing of unused or expired Ringer Lactate Injection, do not pour it down the drain or flush it; instead, follow local guidelines or consult healthcare professionals for appropriate disposal methods to ensure environmental safety. Keep the injection out of the reach of children and pets to prevent accidental ingestion.

Following are the quick tips for Ringer Lactate Injection:

• Administer the injection under medical supervision for safety and effectiveness.
• Ensure the injection is at room temperature before use; avoid extreme temperatures.
• Use aseptic techniques to prevent contamination during administration.
• Inject slowly as directed, typically through a vein (intravenously).
• Monitor fluid balance and vital signs during and after the infusion.
• Report any signs of an allergic reaction or adverse effects immediately.
• Store the injection as directed, usually at room temperature, away from light.