VMD-0040
QUESTION
Ringer lactate solution should not be used against?
OPTIONS
(A) Burn
(B) Dehydration
(C) Peritonitis
(D) Hepatic disorder
ANSWER
(D) Hepatic disorder
EXPLANATION
Lactated Ringer’s contains lactate that must be metabolized largely by the liver to bicarbonate, so it is generally avoided or used cautiously in severe hepatic dysfunction. It is commonly useful in burns, dehydration, and many forms of fluid loss, making hepatic disorder the contraindicating option here.
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