Hartmann$#$#$#$s solution is used to treat hypovolemia caused by surgery, hemorrhage and trauma. Excessive sweating, severe diarrhea or vomiting, excess loss of fluid by nephritic kidneys, inadequate intake of fluid and electrolytes etc. that may lead to typical hypovolemic shock may be corrected with Hartmann$#$#$#$s solution. Severe plasma loss caused by intestinal obstruction, burns or other denuding conditions of the skin may be treated with Hartmann$#$#$#$s solution.
The volume and rate of infusion will depend upon the requirements of the patients and the judgment of the physician. It usually varies with age, weight and clinical condition of the patient. The recommended flow rate is up to 100 drops/minute/70 kg body weight.
As for other calcium-containing infusion solutions, concomitant administration of Ceftriaxone and Compound Sodium Lactate solution is contraindicated in newborns (?28 days of age), even if separate infusion lines are used (risk of fatal Ceftriaxone-calcium salt precipitation in the neonate’s bloodstream). Compound of Sodium Lactate solution is also contraindicated in patients with A known hypersensitivity to sodium lactate, Extracellular hyperhydration or hypervolemia, Severe renal insufficiency, Hyperkalemia, Hypercalcaemia, Metabolic alkalosis, Severe metabolic acidosis, Conditions associated with increased lactate levels (hyperlactatemia) including lactic acidosis
Hands, ankles and feet may become mildly swollen from fluid retention. Rarely, the lungs can also be affected, which may cause breathing difficulty. Other possible symptoms include nausea, vomiting, headache, dizziness, drowsiness, confusion, and inflammation or swelling of the veins around the site of the injection.
Can be used safely during pregnancy and lactation as long as the electrolyte- and fluid balance is controlled. It is reminded that calcium crosses the placenta and is distributed into breast milk.
Electrosal should be stored at controlled room temperature.
This is a sterile solution of Sodium Chloride, Potassium Chloride, Calcium Chloride and Sodium Lactate. Each 100ml of solution contains-
Sodium Chloride BP 0.6 g
Potassium Chloride BP0.04 g
Calcium Chloride BP0.027 g
Sodium Lactate 50% solution USP equivalent to 0.32 g of Sodium Lactate.
The solution contains per litre Sodium 131 mmol, Potassium 5 mmol, Calcium 2 mmol, Bicarbonate (as lactate) 29 mmol, and Chloride 111 mmol.