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Tanto el Ringer con lactato como la solución salina normal se consideran isotónicas y son útiles para restituir pérdidas gastrointestinales y los déficit del volumen extracelular.
El Ringer con lactato es ligeramente hipotónico porque contiene 130 meq de lactato.
Se utiliza lactato en lugar de bicarbonato porque es más estable en líquidos intravenosos durante el almacenamiento.
Se convierte en bicarbonato en el hígado, después de la administración
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