Which statement describes a reason LR should be avoided in patients with AKI or CKD?

Which statement describes a reason LR should be avoided in patients with AKI or CKD?

• A. Potassium overload
• B. Hypercalcemia
• C. Hypoglycemia
• D. Hypokalemia

Answer: (A)

Potassium overload is the concern with lactated Ringer's solution in AKI or CKD. LR contains potassium, and when kidney function is impaired, the body can’t excrete extra potassium effectively. Giving LR can raise serum potassium and lead to dangerous arrhythmias. That’s why LR is avoided in these patients when potassium balance is a priority. Use a potassium-free fluid like normal saline and monitor the patient’s electrolytes. The other options aren’t the primary risk in this context: hypercalcemia is not the key issue with LR here, and LR does not typically cause hypoglycemia or hypokalemia.

Potassium overload is the concern with lactated Ringer's solution in AKI or CKD. LR contains potassium, and when kidney function is impaired, the body can’t excrete extra potassium effectively. Giving LR can raise serum potassium and lead to dangerous arrhythmias. That’s why LR is avoided in these patients when potassium balance is a priority. Use a potassium-free fluid like normal saline and monitor the patient’s electrolytes. The other options aren’t the primary risk in this context: hypercalcemia is not the key issue with LR here, and LR does not typically cause hypoglycemia or hypokalemia.