LR Vs NS in Acute and Emergent situations <\/p>\n
2<\/p>\n
Effectiveness of Lactated Ringers Vs. Normal Saline in Acute and Emergent Situations <\/p>\n
Nursing Research 3203<\/p>\n
Problem Identification: <\/p>\n
In healthcare, Normal Saline tends to be the fluid when it comes to the treatment of acute abnormalities. Healthcare providers repeatedly elect this fluid over other fluids when providing intravenous fluid resuscitation. However, it has been researched that Normal Saline is not always the most effective, depending on the sickness and the patient. The question then arises, in emergency IV fluid administration, are Lactated Ringers more effective than normal Salin in providing better healthier outcomes for the client? Focusing on situations like sepsis, Acute pancreatitis in both adult and pediatric patients along with mild trauma hemorrhage, it is evident that Normal Saline would not be the fluid of choice. There are numerous factors that could sway data that supports this claim, which is why several different articles varying from the demographic of patients to admitted diagnoses were used. <\/p>\n
Literature Review:<\/p>\n
References for this review were found through a search of Langston Library via National Library of Medicine PubMed Central by use of the terms \u201cLactated Ringer\u201d \u201cNormal Saline\u201d \u201cPancreatitis\u201d and \u201cfluid resuscitation.\u201d On October 31, 2022, five articles out of 2451 search results on treatments using lactated ringer VS normal saline were obtained. These results were obtained by using the key terms listed above. The inclusion criteria for these articles were those in English and used only Normal saline versus lactated ringer for treatment in health issues. Article dates had restrictions within the last five years and peer-reviewed. Four articles make up the selection for this article. A review of reference lists of five relevant articles occurred for possible citation chasing.<\/p>\n
Madaria, Marante, Camacho, Bonjoch, Vazquez, Saavedra, Macia, Piedra, Ibanez, Marin, Ligero, Garcia, Llorens, Zapater, Singh, Martin, Closa (2017) conducted a study on patients that were admitted to the ER with symptoms of acute pancreatitis. In this study, they gave some patients LR and some normal saline. Of these patients, it showed that the LR was a better treatment for the fluid resuscitation of the inflammatory response of those patients that were diagnosed with AP. A study conducted by Farrell, Farrell, Hornung, Abu-El-Haija (2020) showed that LR was also a better treatment for pediatric patients that have first-time AP. LR helped reduce hospital stay time, as well as being a more cost-effective treatment for acute pancreatitis. These two studies showed that lactated ringer is a better treatment option for pancreatitis because of the effectiveness of treatment of inflammation, shorter hospital stays, and decreased cost for the patients.<\/p>\n
Limapichat and Pattanapong (2021) conducted a study to see if Normal saline or lactated ringer is a better treatment option for patients present to the ER over the age of 18 that has Sepsis and a high serum level. In this study, 120 patients were either given LR or NS for 22 months and the results did not have a definitive answer as to which treatment was better. Both treatment options raised the levels of serum without statistical significance. With this research it is shown that either treatment option is good for these patients and can be used interchangeably as needed for availability.<\/p>\n
Mane (2017) conducted a study to see if lactated ringer was more effective than normal saline in patients with hemorrhage from mild trauma. This study showed that normal saline has a vasodilation effect which helps raise the serum potassium levels and risk of metabolic acidosis. This can increase the chances of fluid overload making there more negative effects than those associated with the lacted ringer. These results can help patients that are hemorrhaging from the trauma. These results can impact the lives of those who have had mild trauma coming to the ER by reducing the side effects of receiving normal saline VS lactated ringer.<\/p>\n
Lee, Ko, Buitrago, Hiramoto, Hilson, Buxbaum (2020) conducted a study involving 121 participants who were presented to the ER with symptoms of pancreatitis. These patients were put into a double-blind study where some patients were given LR and some were given normal saline as fluid resuscitation for the treatment of pancreatitis. These patients both showed an improvement in their condition but those that received LR were released from the hospital faster than those that received the normal saline. These patients also had a lower admission rate to the ICU than those that had received the normal saline.<\/p>\n
Literature Review Summary Table:<\/p>\n
Source<\/p>\n
Purpose\/Problem<\/p>\n
Sample<\/p>\n
Framework<\/p>\n
Design\/Instruments<\/p>\n
Results<\/p>\n
Implications for Practice<\/p>\n
Madaria, Marante, Camacho, Bonjoch, Vazquez, Saavedra, Macia, Piedra, Ibanez, Marin, Ligero, Garcia, Llorens, Zapater, Singh, Martin, Closa; April 27, 2017<\/p>\n
There is little knowledge on which fluid is optimal for fluid resuscitation in acute pancreatitis. This study compares lactated ringer\u2019s solution to normal saline in the inflammatory response to AP<\/p>\n
The samples were included for patients present to the ER with symptoms of AP. <\/p>\n
The sample size was 40 patients.<\/p>\n
Exclusion criteria were time from pain onset, history of renal disease, chronic lung disease requiring oxygen, autoimmune diseases<\/p>\n
The theoretical framework is organizational theories. This study provides information to nurses on which solution to use for AP<\/p>\n
This study is a triple-blind study RCT. This study was a quantitative study.<\/p>\n
It is found that LR is more effective in the inflammatory response to AP<\/p>\n
The implications are that LR works better than NS in the inflammatory response to AP. This can be applied to practice by using this solution for fluid resuscitation with patients that have a diagnosis of AP.<\/p>\n
Farrell, Farrell, Hornung, Abu-EL-Haija;<\/p>\n
March 2020<\/p>\n
There were questions on which treatment was best for pediatrics with Acute pancreatitis. This study was conducted to compare the cost, and the effectiveness against acute pancreatitis in pediatrics that helps reduce the length of the hospital stay.<\/p>\n
The samples were included for patients that were admitted to the hospital for AP that received a single fluid as treatment. The sample size was 1581 patients that were admitted for the first time AP and their charts were in the Pediatric Health Information System.<\/p>\n
Exclusion criteria were those not included in PHIS system, patients over the age of 19, and those who had a previous diagnosis of AP<\/p>\n
The theoretical framework is organizational theories. This study provides information to nurses on which solution to use for AP<\/p>\n
This study is a qualitative study that uses the Chi-Square, and the Fisher exact test for comparison of categorial data. A linear regression model was used.<\/p>\n
A multivariable logistic regression analysis was performed<\/p>\n
It was found that those given LR for the first 48 hours of the hospital stay had a shorter stay, and were charged less than those that had NS as treatment for pediatric AP.<\/p>\n
The implications are that LR is more effective in reducing the hospital stay and the cost of the stay for patients admitted to the hospital for primary pediatric AP.<\/p>\n
This can be applied to practice by using LR for treatment in children with AP to decrease the price of the stay and reduce the hospital stay.<\/p>\n
Limapichat, Pattanapong;<\/p>\n
December 1, 2021<\/p>\n
To compare the effect of isotonic crystalloid solutions between lactated Ringer\u2019s solution and normal saline solution on lactate clearance in septic patients at the emergency department<\/p>\n
The sample was collected from patients that were presented to the ER that were over the age of 18 with sepsis and initial serum level >2 mg\/dL giving the scientist a study size of 220 patients but 100 patients did not meet the criteria leaving them with 120 patients included in the study.<\/p>\n
Exclusion criteria for this research was those that were pregnant or lactation, end stage renal disease, heart failure or pulmonary edema, and those that had incomplete information in their charts.<\/p>\n
It is not mentioned<\/p>\n
Single-center retrospective chart review<\/p>\n
There was not a difference between LR and NS for the treatment of sepsis. <\/p>\n
The implications are that there was not a true answer to which treatment was better for patients as both options raised levels the same.<\/p>\n
This can be applied to practice by knowing there is more than one treatment option for those with sepsis and high serum levels.<\/p>\n
Mane;<\/p>\n
November 2017<\/p>\n
To compare the efficacy of both the replacement fluids on hemodynamics and metabolic responses of the patients.<\/p>\n
The sample size was 26 patients with mild hemorrhage after trauma. Inclusion criteria were age of 20-30 Y\/O, no serious trauma.<\/p>\n
Exclusion criteria were those with serious trauma, severe blood loss, hypertension diabetes and other comorbid conditions.<\/p>\n
It is not mentioned<\/p>\n
Quantitative study<\/p>\n
Cohort study<\/p>\n
LR is found to be superior to NS in the case of hemorrhage after trauma because of the vasodilator effects.<\/p>\n
The implication is that LR is more effective because of the effects NS has on vasodilation. This can be helpful in practice to reduce the side effects the patient might have after receiving NS instead of LR.<\/p>\n
Lee, Ko, Buitrago, Hiramoto, Hilson, Buxbaum;<\/p>\n
November 03, 2020<\/p>\n
Whether LR solution vs NS is the optimal fluid for acute pancreatitis resuscitation<\/p>\n
The sample size was 121 patients present to the ER. Inclusion criteria was epigastric abdominal pain, serum amylase, or imaging of AP<\/p>\n
Exclusion criteria was severe pancreatitis, heart failure, pulmonary edema, renal insufficiency and liver dysfunction.<\/p>\n
It is not mentioned<\/p>\n
double-blind randomized controlled trial<\/p>\n
Quantitative study<\/p>\n
Patients that received LR were discharged sooner and had less ICU admissions than those with NS fluid resuscitation. <\/p>\n
The implications are that LR works better than NS in the inflammatory response to AP. This can be applied to practice by using this solution for fluid resuscitation with patients that have a diagnosis of AP.<\/p>\n","protected":false},"excerpt":{"rendered":"
LR Vs NS in Acute and Emergent situations 2 Effectiveness of Lactated Ringers Vs. Normal Saline in Acute and Emergent Situations Nursing Research 3203 Problem Identification: In healthcare, Normal Saline tends to be the fluid when it comes to the treatment of acute abnormalities. Healthcare providers repeatedly elect this fluid over other fluids when providing […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10],"class_list":["post-106071","post","type-post","status-publish","format-standard","hentry","category-research-paper-writing","tag-writing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/106071","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=106071"}],"version-history":[{"count":0,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/106071\/revisions"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=106071"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=106071"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=106071"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}