Why is Lactated Ringers contraindicated for patients with DKA? Can someone break it down for me...

Why is Lactated Ringers contraindicated for patients with DKA? Can someone break it down for me so I can understand why?

Expert Solution

The very 1st priority of the treatment of a patient with diabetic ketoacidosis is specifically the restoration of the iv fluid volume by the administration of the intravenous administration of a normal saline that is 0.9% into the patient .These DKA patients usually are contraindicated for any other iv fluid that is like the dextrose or fluid like ringer lactate .When we specifically use Ringer's lactate for a DKA patient or a patient with diabetes the patients will have elevations in the serum lactate levels as well as at the same time this can even lead to exaggerated in liver failure and which will also affect the clinical decision-making. Specificaly this lactate that is found in the Ringer lactate solution will be converted to the glucose as well as this could exacerbate the hyperglycemia in the DKA patients .

Normal saline ,0.9% are mainly used as the replacement fluid in DKA patient

Nightingale answered 2 years ago

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