Glucose Kabi 30% Fresenius Kabi injection is severe hypoglycemia (50 pipes x 5ml)

Absolutely not used for patients after a stroke.

water.

Hypotension.

Precautions when using

dilution and other effects on serum electrolytes:

Depending on the factors: injection volume, injection speed, clinical condition, patient glucose metabolism, glucose injection may cause:

Increased osmotic pressure, osmotic, dehydration.

Reduce osmotic pressure.

electrolyte disorders such as hypoglycemia, hypotension, hypoglycemia, hypoglycemia.

water stasis, increased circulatory volume, obstructive condition including pulmonary obstruction, edema.

The above effects are the result of transmitting solutions that do not contain electrolytes, including glucose solution transmission.

Hypoglycemia can develop into acute brain disease characterized by headache, nausea, seizures, coma, brain edema and death.

Children, the elderly, women, patients after surgery, patients with oxygen deficiency, patients with disease on the central nervous system, patients with psychological thirst are at risk of these complications.

Clinical and periodic assessments are necessary to control changes in fluid balance, electrolyte levels, acid-base whenever the patient's conditions or the treatment process ensure that assessment.

Should be careful in patients at risk of water and electrolyte disorders and electrolytes may be worse due to increased free water load, increased blood glucose, may be required to use insulin.

Hyperglycemia:

Glucose intravenous injection must be cautious in the following patients:

weakening glucose tolerance (patients with renal failure, diabetes, blood infections, trauma, shock).

Severe malnutrition (due to the risk of re -feeding syndrome).

Thiamin deficiency as in chronic alcoholic patients (the risk of severe lactic acidosis due to pyruvat oxidation).

Patients with stroke due to ischemia, serious brain injury.

Avoid injection within the first 24 hours after the first injury. Strict blood sugar monitoring due to early hyperglycemia is related to poor response in patients with serious brain injury.

infants.

Impact on insulin secretion:

Extended intravenous injection and related hyperglycemia can cause insulin secretion stimulated by glucose.

Hypersensitivity reaction:

Hypersensitivity reactions include reported anaphylactic reaction. Injecting glucose solution should be cautious in patients with allergies to corn and corn products. The injection must be stopped immediately if there is any symptom of hypersensitivity reaction. Appropriate treatment according to clinical symptoms.

Feeding syndrome:

Restoration in patients with severe malnutrition can lead to feeding syndrome is characterized by the change of potassium, phosphorus, magnesium in cells due to the patient becoming assimilated. Thiamin and fluid deficiencies can also occur. It is necessary to carefully monitor and slowly increase the nutritional dose while avoiding excessive feeding can prevent complications.

Liver disorders:

Bile disorders include bile stasis, fatty liver, fibrosis and cirrhosis, which can lead to liver failure, cholecystitis, gallstones that have been recorded in some patients using intravenous nutrition. The cause of this disorder is due to many factors and differences between patients. Patients with abnormal test parameters or other signs of liver disease should be assessed initially by doctors who have experience in liver diseases to determine the ability to cause disease and contributing factors and thereby offer reasonable treatment and prevention interventions.

Infection of catheter and blood infection:

Bacterial and bacterial infections may occur due to the use of venous catheter to infect intravenous infusion products, poor maintenance of catheter or due to the use of infected solutions.

Immune inhibition and other factors such as hyperglycemia, malnutrition and/or pathological status can cause patients to have infection complications.

Be careful with symptoms and tests such as fever, cheerleading, cold, white blood cells, technical complications with equipment used in treatment, hyperglycemia can help early detect bacterial infections.

can minimize infections with focus on sterile techniques at the location of the pipe, good maintenance, sterile techniques when producing nutritional products.

precipitate:

Precipitation of pulmonary vessels has been reported in patients using intravenous sugars. Some deaths have occurred.

It is necessary to periodically check the solution, the transmission line, the catheter and the ability to precipitate.

If there are signs of respiratory failure, it is necessary to stop infusion and make a reasonable assessment.

Do not infect glucose solution along with blood through a set of lines because it can cause hemolysis and obstruction.

Pediatric patients:

Injecting speed and volume of infusion depend on age, weight, clinical condition, patient metabolism, simultaneous treatment and should be decided by a doctor who has experience in using infusion therapy for pediatric patients.

To avoid death when infusing infusion for babies, it is necessary to be especially cautious about the infusion method, when using the syringe for infusion or medicine for babies, not to connect the fluid bag to the syringe.

When using an infusion pump, all the clamps on the infusion cable must be locked before removing the transmission line from the transmission pump or turning off the infusion pump. This is required regardless of whether the device has the function of locking the flow.

Must regularly monitor the transmission line and infusion pumps.

Issues related to blood sugar in pediatric patients:

Infants, especially premature babies with low weight, are at risk of increasing or lowering hypoglycemia, so it is necessary to closely monitor during the use of glucose intravenous injection solution to ensure appropriate blood sugar, avoiding potential side effects in the long run.

Hypoglycemia in newborns can cause prolonged seizures, coma and brain damage. Hyperglycemia is associated with cerebral hemorrhage, bacterial and fungal infections in the late stages, retinal disease due to premature birth, necrotizing bowelitis, bronchial dysplasia, prolonging the time of hospitalization and death.

Issues related to blood hypoglycet in children:

Children (including newborns and older children) are at risk of hypoglycemia, as well as sodium hypoglycemia.

Need to strictly control the electrolyte levels in plasma.

Quickly recover from hypoglycemia of hypoglycemia causes potential danger (because of the risk of serious neurological complications).

Used in the geriatric:

When choosing an infusion solution, the injection speed, the volume of the infusion for the patient of the elderly patients, it is necessary to consider the possibility of diseases such as heart failure, liver failure, kidney failure, other diseases and simultaneous medications.

The ability to drive and operate machinery

does not affect driving and operating the machine.

Pregnancy

Used for pregnant women, but need to be cautious in labor. Glucose infusion in labor can lead to insulin production in the fetus, which is associated with the risk of hyperglycemia and metabolic acidosis in the fetus as well as the hypoglycemic reaction in newborns.

breastfeeding period

Used for nursing women.

Drug interaction

Need to calculate the effect of glucose solution on blood sugar and water balance, electrolytes when used for patients who are treating other drugs that control blood sugar, fluid balancing, electrolytes.

Cavalry:

Before adding any drug to the glucose solution to transfer, it must be checked to see if it is suitable.

The solution contains glucose and has a pH