Lactate is the compensatory base of lactic acid. Understanding the metabolism of lactate and briefly reviewing its biochemistry and physiology is important to recognize the specific benefits of Ringer’s lactate utilization. This activity outlines the indications, mechanism of action, methods of administration, important adverse effects, contraindications, and monitoring, of Ringer's lactate, so providers can direct patient therapy in treating conditions for which it is indicated as part of the interprofessional team. Ringer's lactate is largely used in aggressive volume resuscitation from blood loss or burn injuries however, Ringer's lactate is a great fluid for aggressive fluid replacement in many clinical situations, including sepsis and acute pancreatitis. In comparison, normal saline (NS) has an osmolarity of about 286 mOsm/L. The contents of Ringer's lactate include sodium, chloride, potassium, calcium, and lactate in the form of sodium lactate, mixed into a solution with an osmolarity of 273 mOsm/L and pH of about 6.5. Quite a journey! Like most such stories, it makes little sense and is completely untrue.Ringer's lactate solution, or lactated Ringer's solution, is a type of isotonic, crystalloid fluid further classified as a balanced or buffered solution used for fluid replacement. This is how dead ringer came to have its present meaning. Perhaps they were zombies! The popularity of zombies today has more to do with this than with any true history.Īfter such a person was rescued from their macabre predicament, their relatives, who thought they were dead, might see them up and about and presume they were a look-alike. That is, people must have actually rung the bells. Such a person was a ‘dead ringer.”įirst, we can dispense of this with logic: If the person was ‘alive’ why would they be called a ‘dead’ ringer? Also, how likely is it that anyone ever rang such a bell, provided they survived being asphyxiated? For an idiom to be derived from such a practice, we would have to presume that this actually happened. Thus, if they woke up and found themselves in a coffin, they could ring the bell and people above-ground would hear the bell and dig them up. According to this story, people in medieval Britain were terrified of being mistaken for dead and buried alive! The idiom ‘dead ringer’ comes from the fact that people used to be buried with bells above the ground that were attached to strings in the coffin. False Zombie Origin!Ī quite popular false origin has been attached to this idiom. Idioms in the News – 1,000 Phrases, Real Examples. London: Bloomsbury, 2009., 6 Bengelsdorf, Peter. Today, the term is still used to refer to fakes or imposters, such as players substituted on teams who are not on the official roster or who shouldn’t be eligible to play but give an advantage to the team.ĭead is used as an intensifier in many expressions and here it is used to mean precise or exact. Ringer has long been used to refer to something which “rings false” and was originally applied to a horse that was dishonestly substituted for another horse in a race. The car they found was a dead ringer for mine, though. “The police thought they had found my car but the identification numbers didn’t match. “Has anyone ever told you that you’re a dead ringer for your aunt Julie when she was your age?” “That lawyer is a dead ringer for Robert Redford, right down to his hair color.” Want to see more videos from Idioms.Online? Subscribe to our YouTube channel! Usageĭead ringer is usually used in the full phrase “to be a dead ringer for someone.” Examples Of Use
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