Fluids

Lactated Ringer's (LR)

Also known as: LR, Ringer's lactate, Hartmann's solution

A balanced IV fluid with sodium, potassium, calcium, and lactate — an alternative to saline for hydration drips.

Medically reviewed by Akash Bhagat, DO, FACEP

· Published by NeuMed Modern Urgent Care + IV Therapy

What the evidence supports

UseEvidence
Rehydration Established

Common side effects

  • Cool sensation in arm
  • Frequent urination afterward

Who should be cautious or avoid this

  • Heart failure
  • Kidney disease
  • High potassium levels
  • Not mixed with certain drugs that bind calcium

What it is

Lactated Ringer’s is a “balanced” crystalloid fluid: sodium chloride plus smaller amounts of potassium, calcium, and sodium lactate. The body converts lactate to bicarbonate, which can help offset acidity.

Why it’s used in IV therapy

Some clinics prefer LR for hangover and athletic recovery drips because its electrolyte mix is closer to blood plasma than plain saline.

What the evidence says

LR is an established hydration fluid used throughout hospitals. In wellness settings, the practical difference between LR and saline for a healthy person getting one liter is small.

Side effects and cautions

Similar to saline: fluid overload risk in heart or kidney disease. Because it contains potassium, it’s used carefully in people with high potassium or advanced kidney disease. Its calcium content makes it incompatible with certain medications in the same line, which is why clinicians check what’s being mixed.

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Sources

  1. Lactated Ringer's Solution — StatPearls (NCBI Bookshelf)

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