Glucose transmission 5% Fresenius Kabi treat carbohydrates (500ml)

Dosage form Bottle x 500ml
Specifications Glucose

Ingredient

Composition information	Content
Glucose	5%

Uses

Indications

Glucose 5% 500 ml Eazy Bidiphar is indicated in the following cases:

The drug is used to treat carbohydrates and fluid.

ATC code: B05b A03 - Glucose is a single 6 -carbon line, using intravenous injection to treat glucose deficiency and fluid.

Glucose infusion solution is often used to provide energy for patients and use with electrolyte solutions to prevent and treat dehydration due to acute diarrhea. Glucose is also used to treat hypoglycemia and make other drugs. The 5% glucose solution is considered bitter to blood, or the most used in water supplements by peripheral vein.

Dynamic pharmacokinetics

Injecting solution, bioavailability reaches 100%. Glucose converts into carbon dioxide and water, and releases energy.

Before taking Glucose transmission 5% Fresenius Kabi treat carbohydrates (500ml)

How to use

peripheral intravenous or center intravenous injection as directed by a physician.

When the drug is used to dilute other compatible drugs to infer intravenously, the instructions for use of diluted drugs will determine the appropriate volume of the story for all treatment.

Glucose 5% is the isothermal solution.

Dosage

adults, elderly people, children:

The content and dose depending on the age, weight, clinical condition of each patient. The patient's blood glucose concentration must be closely monitored.

Recommended doses for carbohydrate and translation treatment:

Adults: 500 ml - 3000 ml/24 hours.

Children and children:

0-10 kg body weight: 100 ml/kg/24 hours.

The transmission rate must not exceed the patient's oxidation of glucose to avoid hyperglycemia. Therefore, the maximum transmission speed varies from 5 mg/kg/minute for adults to 10-18 mg/kg/minute for children and children depending on the age and body weight.

The speed and volume of transmission depend on the age, weight, clinical and metabolism of the patient, other combined treatments and must be decided by the doctor who has experience in using infusion therapy in children.

recommended dose when used as a shipping and diluted solution for compatible drugs:

50 - 250 ml/dose of the same drug.

When 5% glucose is used to dilute other injection products, the dose and the transmission speed are specified by the nature and dose of that injection.

Note: The above dose is for reference only. Specific dosage depends on the condition and level of progression of the disease. For a suitable dose, you need to consult a doctor or medical specialist.

What to do when using overdose?

Expression:

For extension or rapid use of a large volume of 5% glucose solution may cause osmotic pressure, sodium hypoglycemia, dehydration, hyperglycemia, serious ureter glucose, osmotic diuretic (due to hyperglycemia), water poisoning, edema, etc.

Management:

When suspected of an overdose, it is necessary to stop transmitting immediately, injecting insulin, adjusting water and electrolytes, strictly controlling parameters.

What to do when you forget 1 dose?

Side Effects

Immune system disorders: Anaphylaxis, hypersensitivity.

Metabolic and nutrient disorders: electrolyte disorders, hypotension, hypoglycemia, hypoglycemia, blood sugar phosphorus, hyperglycemia, dehydration.

Skin and tissue disorders: rash.

Vascular disorders: thrombosis.

Kidney and urinary tract disorders: A lot of urination.

Common disorders at the infusion site: chills, fever, infection at the infusion site, irritating the infusion site such as rash, exit, local reaction, local pain.

Warnings

Before using the drug you need to read the instructions carefully and refer to the information below.

Contraindicated

Do not use 5% glucose infusion solution in the following cases:

water or edema, high blood pressure and patients have not been properly evaluated for electrolyte balance to choose the appropriate type of solution.

Patients with diabetes are out of compensation or glucose intolerance (such as metabolic disorders, osmotic pressure coma, hyperglycemia, blood lactate).

Be cautious when using

The types of infusion drugs should be checked for sensations of sub -fertilizers and discoloration before transmission, checking the intactness of the packaging. Use only if the solution is clear, there are no visible stools, the packaging is not damaged. Must transmit immediately when plugged in the transmission cord.

The solution must be transmitted to aseptic device and use aseptic technique. Transmission devices should have solutions to prevent air into the system.

The supplement of electrolytes should follow the clinical needs of each patient.

Other drugs may be added right before transmission or during the process of communicating via the appropriate port. When mixed with other drugs, the final osmotic pressure of the mixture must be measured before transmission. The use of high -pressure epidemic use can cause venous and venous irritation.

Dilute with other drugs must be carefully conducted in aseptic conditions. The solution after dilution must be used immediately.

Control: The treatment should be performed under regular and careful supervision. Clinical and biological parameters, especially blood glucose, fluid and electrolytes should be monitored regularly and during treatment.

Causes of caution when taking the drug:

dilution and other effects on serum electrolytes:

Depending on the following factors: transmission volume, transmission speed, clinical condition, patient's ability to metabolize glucose, glucose intravenous infusion may cause: osmotic pressure, osmosis, dehydration; Reducing osmotic pressure; Electrolyte disorders such as hypotension, hypotension, hypoglycemia, hypoglycemia; Water stasis, increase the volume of circulation, obstruction including pulmonary obstruction, edema.

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

Sodium -lowered blood can develop into acute brainstorms characterized by headaches, 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 needed to control changes in fluid balance, electrolyte levels, acid-base balance during prolonged intravenous infusion or whenever the patient's conditions or treatment process ensure that assessment.

should be especially cautious in patients at risk of water and electrolytes, which may be worse due to increased free water load, increased blood glucose, may be required to use insulin.

Hyperglycemia:

Quick transmission of glucose solutions can cause hyperglycemia and osmotic hypertension syndrome.

If hyperglycemia, the transmission speed must be adjusted and/or using insulin.

If necessary, added venous potassium.

Glucose intravenous infusion must be cautious in the following patients.

Reducing glucose tolerance (patients with renal failure, diabetes, bacterial 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 or serious brain injury. Avoid infusion within the first 24 hours after head injury. Strictly monitoring of blood sugar due to early hyperglycemia is related to poor response in patients with serious brain injury.

infants.

Impact on insulin secretion:

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

Hypersensitivity reaction:

Hypersensitivity reactions include reported anaphylactic reaction. Therefore, it is necessary to be cautious when transmitting glucose solution in patients allergies to corn and products from corn. Immediately use it if there is any symptom of hypersensitivity reaction. Proper treatment is based on 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 becomes assimilated. Thiamin and fluid deficiencies can also occur. Need to monitor carefully and slowly increase the nutritional dose along with avoiding excessive feeding can prevent complications.

Pediatric patients:

The speed of transmission and transmission volume depends on age, weight, clinical condition, patient metabolism, medications simultaneously and should be decided by the doctor who has experience in using infusion therapy for pediatric patients.

To avoid the possibility of death when infusing to babies, it is necessary to be particularly cautious about the transmission method. When using syringes for infusion or medication for babies, do not connect the fluid to the syringe.

When using an infusion pump, all the clamps on the infusion cord 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 monitor regularly and infusion pumps.

Issues related to blood sugar in children.

Newborns, especially premature babies with low weight, are at risk of gaining or hypoglycemia, so it is necessary to closely monitor during the use of glucose intravenous fluid to ensure appropriate blood sugar control, avoiding the long -term side effects in the long run.

Hypoglycemia in infants 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 hypoglycemia in pediatric patients.

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

Need strict control of electrolytes in plasma.

Quickly recovery of complications of sodium hypoglycemia can cause danger (because there is a risk of serious neurological complications).

Dosage, transmission speed and transmission time must be decided by doctors who have experience in using infusion therapy in pediatric patients.

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

Blood:

Do not transmit 5% glucose solution simultaneously, before or after blood transfusion through the same set of lines because it can cause blood soluble | or fake ending.

Using another drug or improper transmission technique can cause a fever reaction because it can be contaminated with toxins. When there is a side effect, stop transmitting immediately.

Risk of gas clogged:

Do not use plastic bottles in consecutive connection systems. Such use can lead to obstruction due to air from the first bottle before completing the infusion from the second bottle.

The pressing of the transmission contained in plastic bottles to increase the flow rate can lead to gas congestion if the excess air in the father is not completely pushed out before transmission.

Using intravenous lines with ventilation holes with catheter in an open position can lead to air obstruction. The intravenous line set with ventilation holes with pine holes in the open position should not be used with plastic bottles.

The ability to drive and operate machinery

The drug does not affect the ability to drive and operate machinery.

Pregnancy

glucose can be used for pregnant women. However, restricting the transmission of glucose solutions to the mother during labor because it can lead to insulin production in the fetus, related to hyperglycemia and metabolic acidosis in the fetus and a blood glucose decrease reaction in newborns.

The period of breastfeeding

There is no adequate data for using glucose for nursing women. However, it is considered not to affect, so glucose can be used for breastfeeding women.

Drug interaction

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

Cavalry: Before adding any drug to any glucose solution to transmit, check if it is appropriate. The solution contains glucose and has a pH

Storage

Store in a cool dry place, avoid light, temperature below 30⁰C.

Other drugs

Disclaimer

Every effort has been made to ensure that the information provided by Drugslib.com is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Drugslib.com information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Drugslib.com does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Drugslib.com's drug information does not endorse drugs, diagnose patients or recommend therapy. Drugslib.com's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners.

The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Drugslib.com does not assume any responsibility for any aspect of healthcare administered with the aid of information Drugslib.com provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.