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**Calcium chloride + sodium chloride + sodium lactate + potassium chloride** is a fixed-combination isotonic crystalloid electrolyte solution commonly known as **lactated ringer's solution** or **Hartmann's solution**. It is a **small molecule** parenteral fluid and electrolyte replacement product used as a source of water and electrolytes and as an alkalinizing agent in adults and pediatric patients; irrigation formulations are also used for general washing, rinsing, and arthroscopic procedures. Its therapeutic effect is not mediated through a discrete receptor target, but through physiologic replacement of extracellular fluid components: sodium and chloride help restore intravascular and interstitial volume, potassium and calcium help replenish essential electrolytes, and lactate is metabolized to bicarbonate, which can help buffer metabolic acidosis. It is a long-established hospital product manufactured by multiple companies, including B. Braun and Baxter, and is used for dehydration, extracellular fluid loss, electrolyte imbalance, and related supportive care settings.
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