The function and efficacy of sodium lactate Ringer suspension bottle
I remember the summer when I first started interning at the hospital, a construction worker who suffered from heatstroke was sent to the emergency room. His face was pale, his whole body was damp and cold, and his blood pressure was so low that it was almost undetectable. The attending physician quickly issued a medical order: "Rapid intravenous infusion of sodium lactate Ringer!" As the transparent liquid slowly flowed into the patient's blood vessels, in less than half an hour, his fingertips gradually warmed up and his breathing became stable and strong. At that moment, for the first time, I intuitively felt the life force contained in this seemingly ordinary liquid bag. 1、 The precise reconstruction of the River of Life with Sodium Lactate Ringer's solution is essentially a biomimetic designed electrolyte solution, whose formula simulates the ion composition of human plasma. Just like the carefully prepared upgraded version of physiological saline, it not only contains sodium ions to maintain blood volume, but also key electrolytes such as potassium ions, calcium ions, magnesium ions, etc., and especially contains lactate ions - this component can be converted into bicarbonate ions in the liver, quietly regulating acid-base balance. Clinically, it is commonly found in operating rooms, emergency departments, and ICUs. When patients experience significant fluid loss due to burns, diarrhea, or trauma, it acts as a mobile force that can quickly rebuild the body's water and electrolyte balance. 2、 In practical applications, the therapeutic art of multidimensional collaboration presents a synergistic effect that progresses layer by layer. Firstly, it is to quickly replenish blood volume as a "pioneer of expansion". I remember a patient with acute pancreatitis continued to vomit, and the on duty physician pointed to the monitor and said, "Do you see? Rapid infusion of sodium lactate is more effective in stabilizing blood pressure than using physiological saline alone. This is because its osmotic pressure is similar to that of plasma, allowing it to remain in the blood vessels for a longer period of time. This demonstrates the wisdom of the "electrolyte manager". Unlike ordinary saline, which only supplements sodium and chloride ions, it contains potassium ions that can prevent arrhythmia caused by hypokalemia, while calcium ions maintain normal excitability of the nervous muscles. In obstetrics, there was a pregnant woman with severe vomiting who finally stopped her hand and foot twitching after receiving two bags of infusion. The delivery room director gently stroked the patient's back and explained, "Each drop of liquid here is like a smart capsule, what is missing is supplemented. "The deepest skill lies in the role of" acid-base mediator ". Sodium lactate, like a latent agent, is transformed into alkaline substances after liver metabolism, and mildly corrects metabolic acidosis. Last year, a patient with diabetes ketoacidosis was treated at the same time with insulin therapy, and the arterial blood gas pH value rose steadily from 7.1 to 7.3. The endocrine director tapped the test sheet with a pen:" This is the perfect dance of chemistry and physiology. "III. The philosophy of temperature and speed in clinical practice, we pay special attention to the details of infusion. In winter, the liquid will be heated to 37 ℃ to prevent cold stimulation from causing vasospasm; In the face of patients with cardiac dysfunction, infusion pumps are used to precisely control the flow rate. There was an unforgettable night shift where an old man with severe gastrointestinal bleeding needed quick fluid replacement, but also had a history of heart disease. We use the "fast slow" alternating infusion method to maintain blood pressure without increasing cardiac burden. The head nurse often says when adjusting the drip rate, "This is not just hanging water, but a symphony of life played with liquid." Looking back at the clinical front line, the flowing guardians of life have long surpassed the scope of ordinary drugs with sodium lactate Ringer's solution. It is a life essence replicated by science and technology, and is a cornerstone type therapeutic hand that maintains internal environment stability. From life support on the operating table to emergency rescue in disaster areas, from neonatal intensive care units to geriatric wards, this transparent liquid flows silently, guarding life balance in the closest way possible to the human body's internal environment. As the recovered construction worker said when he was discharged, "What was hanging in the hanging bottle was not medicine, but the ingenuity of the doctors and nurses." It interprets the essence of medicine with a scientific formula - true treatment is to help the body regain its own balance.