Hartmann's Solution
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Hartmann's solution or Compound Sodium Lactate is a solution that is isotonic with blood and intended for intravenous administration.
Hartmann's solution is abbreviated as "CSL". It is very similar--though not identical to--Lactated Ringer's solution, the ionic concentrations of which differ.
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[edit] Overview
One litre of Hartmann's Solution contains:
- 131 mEq of sodium ion = 131 mmol/L.
- 111 mEq of chloride ion = 111 mmol/L.
- 29 mEq of lactate = 29 mmol/L.
- 5 mEq of potassium ion = 5 mmol/L.
- 2 mEq of calcium ion = 2 mmol/L .
Generally, the sodium, chloride, potassium and lactate come from NaCl (sodium chloride), NaC3H5O3 (sodium lactate), CaCl2 (calcium chloride), and KCl (potassium chloride).
[edit] Contraindications
Hartmann's solution is said to be contraindicated in patients with diabetes mellitus, as one of the isomers of lactate is gluconeogenic[1].
[edit] See Also
- Lactated Ringer's solution
- Alexis Hartmann
[edit] References
- ^ D. J. B. Thomas AND K. G. M. M. Alberti, 'Hyperglycaemic effects of Hartmann's solution during surgery in patients with maturity onset diabetes', British Journal of Anaesthesia, (1978, 50, 185) - http://bja.oxfordjournals.org/cgi/content/abstract/50/2/185
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