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5.1: Prelude to Solutions

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    If you watch any of the medical dramas on television, you may have heard a doctor (actually an actor) call for an intravenous solution of “Ringer’s lactate” (or “lactated Ringer’s” or "Ri-Lac"). So what is Ringer’s lactate?

    Intravenous (IV) solutions are administered for two main reasons:

    1. to introduce necessary substances into the bloodstream, such as ions for proper body function, sugar and other food substances for energy, or drugs to treat a medical condition, and
    2. to increase the volume of the bloodstream.

    Many people with acute or long-term medical conditions have received some type of an IV solution.

    Solutions

    Solutions are homogenous mixtures of two or more compounds. In the case of liquid phase solutions, the solvent is typically the compound in greater quantity and it is in a liquid state, and the solute is lesser quantity, where the solute is dissolved into the solvent. In aqueous solutions, water is the solvent, even if it is in lesser quantities, and in this class, we will be dealing mostly with aqueous solutions. The solute can be of a different phase than the solvent.

    Solutions in Health Science

    One basic IV solution, called a normal saline solution, is simply a dilute solution of NaCl dissolved in water. Normal saline is 9.0 g of NaCl dissolved in each liter of solution. Ringer’s lactate is a normal saline solution that also has small amounts of potassium and calcium ions mixed in. In addition, it contains about 2.5 g of lactate ions (C3H5O3) per liter of solution. The liver metabolizes lactate ions into bicarbonate (HCO3) ions, which help maintain the acid-base balance of blood. Many medical problems, such as heart attacks and shock, affect the acid-base balance of blood, and the presence of lactate in the IV solution eases problems caused by this imbalance.

    Physicians can select from a range of premade IV solutions, in accordance with a patient’s particular needs. Ringer’s lactate is commonly used when a patient’s blood volume must be increased quickly. Another frequently used IV solution, called D5W, is a 5% solution of dextrose (a form of sugar) in water.

    800px-Ringer-Lactat-Infusion.jpg

    Figure Ringer’s lactate Solution

    Contributors and Attributions

    Sol Puenzo (Canada College; Department of Chemistry). This material has both original contributions, and content built upon prior contributions of the LibreTexts Community and other resources, including but not limited to:

    • Robert E. Belford
    • Anonymous

    5.1: Prelude to Solutions is shared under a not declared license and was authored, remixed, and/or curated by LibreTexts.