Lactated Ringer's solution is contraindicated in patients who are likely to have which condition?

Lactated Ringer's solution is contraindicated in patients who are likely to have which condition?

• A. 0.9% saline
• B. 0.45% saline
• C. Dextrose solutions
• D. Lactated Ringer's solution

Answer: (D)

Lactated Ringer’s contains lactate, which is processed by the liver into bicarbonate. If a patient is likely to have poor lactate metabolism, such as with liver dysfunction, administration can raise lactate levels and worsen acidosis. That makes lactated Ringer’s contraindicated in those patients. In these scenarios, fluids without lactate (like normal saline) are preferred. The other options do not carry this lactate-related issue, which is why the lactated solution is the one to avoid in this context.

Lactated Ringer’s contains lactate, which is processed by the liver into bicarbonate. If a patient is likely to have poor lactate metabolism, such as with liver dysfunction, administration can raise lactate levels and worsen acidosis. That makes lactated Ringer’s contraindicated in those patients. In these scenarios, fluids without lactate (like normal saline) are preferred. The other options do not carry this lactate-related issue, which is why the lactated solution is the one to avoid in this context.