Thrombin Alfa (Recombinant) (Topical)
Jeneng merek: Recothrom
Kelas obat:
Agen Antineoplastik
Panganggone Thrombin Alfa (Recombinant) (Topical)
Hemorrhage
Digunakake sacara topikal minangka bantuan kanggo nggayuh hemostasis ing situs sing bisa diakses saka oozing getih lan getihen cilik saka kapiler lan venules cilik nalika ngontrol getihen nggunakake ukuran bedhah standar (contone, jahitan, ligatur, electrocautery) ora efektif utawa ora praktis.
Bisa digunakake piyambak utawa bebarengan karo spons gelatin sing bisa diserap sajrone macem-macem jinis operasi (contone, operasi spinal, reseksi ati, operasi bypass arteri perifer).
Aja digunakake kanggo getihen arteri gedhe utawa cepet. (Deleng Kontraindikasi.)
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Carane nggunakake Thrombin Alfa (Recombinant) (Topical)
Administrasi
Administrasi Topi
Aplikasi topikal minangka solusi; ora nyuntikake. (Deleng Contraindications.) Pisah solusi thrombin topikal saka preparat parenteral kanggo nyegah injeksi sing ora disengaja. (Deleng Trombosis ing Cautions.) Aja ninggalake solusi reconstituted ing syringes minangka langkah penengah.
Aplikasi langsung menyang lumahing jaringan getihen nggunakake sprayer syringe steril utawa pump semprotan; Utawa, bisa aplikasi karo karang gelatin absorbable. Hubungi pandhuan pabrikan kanggo ngrakit lan nggunakake sprayer syringe utawa pompa semprotan sing tepat (kasedhiya minangka bagéan saka kit aplikator semprotan).
Yen digunakake bebarengan karo spons gelatin sing bisa diserap, transfer solusi menyang mangkuk utawa cekungan steril. Kacemplungaken ngudani karang saka ukuran sing dikarepake ing solusi kanggo ngidini jenuh lengkap. Alon-alon remet strip spons kanggo mbusak keluwihan obat lan aplikasi menyang situs getihen ing lapisan siji. Hubungi informasi pabrikan kanggo instruksi rinci babagan nggunakake preparat spons gelatin sing bisa diserap.
RekonstitusiNganggo piranti transfer tanpa jarum, tambahake 5 utawa 20 ml diluent sing diwenehake (injeksi natrium klorida 0,9%) menyang vial sing ngemot. 5000 utawa 20.000 unit, masing-masing, saka trombin alfa lyophilized (trombin [rekombinan]) kanggo nyedhiyakake solusi sing ngemot 1000 unit / mL. Puterake vial alon-alon nganti wêdakakêna larut rampung.
Tarik solusi sing wis direkonstitusi menyang jarum suntik steril lan pasang label tambahan sing nuduhake yen solusi kasebut mung kanggo panggunaan topikal.
Gunakake sajrone 24 jam sawise rekonstitusi.
Dosis
Dewasa
Topikal PendarahanVolume obat sing dibutuhake kanggo nggayuh hemostasis gumantung saka jumlah total situs pendarahan, area permukaan sing diobati, lan cara aplikasi.
Hemostasis biasane ditindakake sajrone 10 menit sawise aplikasi siji.
Pènget
Kontraindikasi
Pènget/PanandhapPènget
Trombosis
Risiko trombosis yen diserap sacara sistemik. Aja nyuntikake langsung menyang sistem sirkulasi; komplikasi serius kalebu hipotensi, trombosis sistemik, lan pati bisa nyebabake. (Deleng Contraindications ing Caution.) Njupuk langkah-langkah pencegahan sing cocog kanggo nyegah injeksi sing ora disengaja. (Deleng Administrasi ing Dosis lan Administrasi.)
Reaksi Sensitivitas
HipersensitivitasReaksi alergi potensial ing pasien kanthi hipersensitivitas sing dikenal kanggo protein ula (amarga nggunakake aktivator prothrombin sing asale saka racun ula ing proses produksi).
Formasi AntibodiKamungkinan pangembangan antibodi kanggo thrombin alfa; risiko pangembangan antibodi luwih murah tinimbang sing ana gandhengane karo trombin sing asale saka sapi. Hubungane antarane pembentukan antibodi lan efek samping sing penting sacara klinis (umpamane, pendarahan sing akeh banget) ora diamati.
Imunogenisitas thrombin alfa ora kena pengaruh antibodi sing wis ana sadurunge kanggo trombin sapi.
Pengalaman winates babagan paparan bola-bali obat kasebut.
Populasi Tertentu
KandhutanKategori C.
Panggunaan PediatrikDievaluasi ing sawetara pasien pediatrik (umur 12-17 taun) sing ngalami eksisi luka bakar sadurunge grafting. Produsen nyatakake safety lan khasiat ing pasien pediatrik <12 taun durung ditetepake.
Panggunaan GeriatrikOra ana bedane sakabèhé ing khasiat utawa safety relatif kanggo pasien sing luwih enom, nanging tambah sensitivitas ora bisa ditolak.
Efek Umum sing Saru
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