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Back to Langs
Administration of a
Lang's Solution
temporarily changes the blood picture of a hypotonic contraction to
one of a hypertonic expansion - a gain of salts in excess of water.
The increased extra-cellular sodium from the Lang's results in a
transfer of fluid from the intracellular to the extracellular
compartments. The packed cell volume (PCV) is reduced due to the
increased plasma volume by the temporary transfer of tissue fluids
into the bloodstream. The red blood cell (RBC) count and haemoglobin
level is also reduced, sometimes to an apparently anaemic level.
The effect of a Lang's is similar to the once common practice
of "Bleeding" - a procedure that dramatically depleted blood
volume and as a result, stimulated the recovery of body fluids to
normal levels.
A return to normal blood volume and fluid levels can be assisted with
the administration of a DOCA Injection (deoxycorticosterone
acetate) which promotes increased resorption of sodium with consequent
retention of extracellular water.
The combination of a Lang's Solution plus
advice on restriction of fast work has often resulted in a spectacular
return to form.
For horses that won't drink
Horses that become dehydrated because of prolonged exercise such as
endurance events or due to especially humid, hot conditions may not
drink despite a drop in body fluids because body water and body salts
are lost together in sweat. As such, if plasma osmolality does not
increase, the thirst reflex is not stimulated.
This state of "voluntary dehydration" may be overcome by
administration of a Lang's Solution which will create the
increased plasma osmolality to stimulate the thirst reflex and get a
horse to drink.
Composition: Each 500ml pouch contains Sodium chloride 19 grams
and Sodium citrate 19 grams providing Na ions 14.1g and Chloride ions
11.2g
Actions: Alkaline hypertonic
saline infusion stimulates the thirst reflex. In cases of hypotonic
contraction due to loss of salt in excess of water, administration of
500ml Lang's Solution temporarily creates the condition of a
hypertonic expansion. The increased extracellular sodium results in a
transfer of fluid from the intracellular to the extracellular
compartments and stimulates the thirst reflex in order to restore the
fluid status and intracellular and extracellular osmotic pressures.
Presentation
Packed in 500ml medical PVC pouch with 900mm draw-off tube and luer
slip plug, complete with 14-gauge catheter.
Directions For Use: Administer
entire contents of 500ml by intravenous infusion. This product should
be used only by registered veterinary surgeons.
Warning: The saline solution is an
irritant extra-vascularly due to its hypertonicity. Recommended
procedure is to use the 14-gauge catheter provided in preference to a
needle.
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