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Ringer Locke - instructions for use, reviews, analogs and forms of release (solution for infusion) drugs for the treatment of alkalosis and correction of water-electrolyte balance in adults, children and pregnancy. Composition

Ringer Locke - instructions for use, reviews, analogs and forms of release (solution for infusion) drugs for the treatment of alkalosis and correction of water-electrolyte balance in adults, children and pregnancy. Composition

In this article, you can read the instructions for using the drug Ringer Locke. Presented are reviews of visitors to the site - consumers of this medication, as well as opinions of doctors specialists on the use of Ringer's solution in their practice. A big request is to actively add their feedback on the drug: the medicine helped or did not help get rid of the disease, which were observed complications and side effects, possibly not declared by the manufacturer in the annotation. Analogs of Ringer Lock's solution in the presence of existing structural analogues. Use for the treatment of alkalosis and correction of water-electrolyte balance in adults, children, as well as during pregnancy and lactation. Composition of the preparation.

 

Ringer's solution - rehydrating agent, has a detoxification effect, stabilizes the water and electrolyte composition of the blood. When used as a means of replenishing the volume of circulating blood, because of the rapid exit from the bloodstream into the extravasal space, the effect persists for only 30-40 minutes (in connection with which the solution is only suitable for short-term replenishment of the circulating blood volume).

 

Composition

 

Sodium chloride + Calcium chloride + Potassium chloride + auxiliary substances.

 

Indications

  • as a plasma-substituting agent in the absence of the need for compensation of erythrocytes, incl. with shock, collapse, burns, frostbite, prolonged vomiting, diarrhea;
  • for correction of water-electrolyte balance in acute diffuse peritonitis and intestinal obstruction, intestinal fistula;
  • dehydration of various etiologies;
  • metabolic alkalosis, accompanied by loss of fluid.

 

Forms of release

 

Solution for infusion in a polymer container or infusion bag 100 ml, 200 ml, 250 ml, 400 ml, 500 ml and 1000 ml.

 

Instructions for use and how to use them

 

Intravenously drip at a rate of 60-80 cap / min or jet.

 

The daily dose for adults - 5-20 ml / kg, if necessary, can be increased to 30-50 ml / kg.

 

The daily dose for children is 5-10 ml / kg, the rate of administration is 30-60 cap / min, with shock dehydration initially injected with 20-30 ml / kg.

 

The course of treatment is 3-5 days.

 

Side effect

  • hyperhydration;
  • hypokalemia;
  • allergic reactions.

 

Contraindications

  • hypernatremia;
  • hyperchloremia;
  • acidosis;
  • chronic heart failure;
  • pulmonary edema;
  • edema of the brain;
  • chronic renal failure;
  • hypervolemia;
  • concomitant therapy with glucocorticosteroids;
  • hypersensitivity to the components of the drug.

 

Application in pregnancy and lactation

 

During pregnancy, apply in cases where the expected benefit to the mother exceeds the possible risk to the fetus.

 

It should refrain from breastfeeding during the period of use of the drug because of the lack of relevant clinical data.

 

special instructions

 

With prolonged use, it is necessary to monitor the concentration of electrolytes in plasma and daily diuresis.

 

Due to the high level of chloride ions, long-term use of the drug is not recommended.

 

In the case of rapid introduction of a large volume, it is necessary to control the acid-base state and the level of electrolytes. A change in the pH of the blood (acidification) leads to a redistribution of potassium ions (a decrease in pH leads to an increase in the content of potassium ions in the blood serum).

 

You can use only intact vials, with a clear solution.

 

Drug Interactions

 

It is possible to increase the delay of sodium in the body while taking the following medicines at the same time: NSAIDs,

androgens, anabolic hormones, estrogens, corticotropin, mineralocorticoids, vasodilators or ganglion blockers.

 

When taking with potassium-sparing diuretics, ACE inhibitors and potassium preparations, the risk of developing hyperkalemia increases.

 

In combination with cardiac glycosides, the likelihood of their toxic effects increases.

 

Analogs of the drug Ringer Locke

 

Ringer does not have structural analogs for the active substance.

 

Analogues on the pharmacological group (regulators of water-electrolyte balance in combinations):

  • Acesol;
  • Disol;
  • Yonosterol;
  • Quintasol;
  • Mafusol;
  • Sodium fumarate is complex;
  • Neohemodeisis;
  • Plasma-lit 148 aqueous solution;
  • Plasma-Lit 148 with 5% glucose;
  • Hartmann's solution;
  • Regidron;
  • Ringer lactate;
  • Ringer Lactate Vaflo;
  • Ringer's acetate;
  • Ringer's lactate with magnesium;
  • Complex solution of sodium lactate Bieffe (Ringer's solution of lactate);
  • Sorbilact;
  • Composite sodium lactate;
  • Trisol;
  • Chlosol.

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