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E%5 Dextrose %0.2 Nacl

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Indications:

peritoneal dialysis solutions are indicated in the treatment of chronic renal failure patients being maintained on peritoneal dialysis when nondialytic medical therapy is judged to be inadequate.

Contraindications:

None Known

Adverse reactions:

Adverse reactions occurring with administration of peritoneal dialysis include mechanical and solution related problems as well as the results of contamination of equipment or improper technique in catheter placement. Abdominal pain, bleeding, peritonitis, subcutaneous infection around a peritoneal catheter, catheter blockage, difficulty in fluid removal, and ileus are among the complications of the procedure. Solution related adverse reactions might include peritonitis, catheter site infection, electrolyte and fluid imbalances, hypovolemia, hypervolemia, hypertension, hypotension, disequilibrium syndrome and muscle cramping. If an adverse reaction does occur, institute appropriate therapeutic procedures according to the patient’s needs and conditions, and save the remainder of the fluid in the bag for evaluation if deemed necessary.

Interactions:

Warnings:

General: Administer only if the solution is clear, all seals are intact, and there is no evidence of leaking. It is important to mix the buffer (mini-bag) and main solutions thoroughly. Administer within 24 hours after mixing. Once solutions are mixed, medication may be added prior to administration. Do Not Heat In A Microwave Oven Care should be taken to see that the catheter is inserted completely, since leakage around the catheter, if not controlled, can create edema from subcutaneous infiltration of the dialysis solution. This will also create an inaccurate fluid balance measurement. Chronic patients that have been stabilized on peritoneal dialysis therapy should have routine evaluation of electrolyte blood chemistries and hematologic factors measured in order to determine the patient’s ongoing condition. this medicine peritoneal dialysis solutions do not include potassium. Potassium chloride should only be added under the direction of a physician after careful evaluation of both serum and total body potassium. Check the inner bag for leaks by gently squeezing the bag before removing the outer wrap. If after applying pressure on the bag, leaks are found, do not use this solution since the sterility of the bag may be compromised. The outer wrap must be removed immediately before use and is provided with a “Tear Open” feature to make removal easy. See detailed instructions in the Directions for Use section. Aseptic technique must be used throughout the procedure and at its termination in order to reduce the possibility of infection. Significant loss of protein, amino acids and water soluble vitamins may occur during peritoneal dialysis. Replacement therapy should be provided as necessary. Laboratory Tests Serum electrolytes, magnesium, bicarbonate levels and fluid balance should be periodically monitored. Carcinogenesis, Mutagenesis, Impairment of Fertility Long term animal studies with this medicine peritoneal dialysis solutions have not been performed to evaluate the carcinogenic potential, mutagenic potential or effect on fertility. Pregnancy: Teratology Effects Pregnancy Category C. Animal reproduction studies have not been conducted with this medicine peritoneal dialysis solutions. It is also not known whether this medicine peritoneal dialysis solutions can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. this medicine peritoneal dialysis solutions should be given to a pregnant woman only if clearly needed. Nursing Mothers Caution should be exercised when this medicine peritoneal dialysis solutions are administered to a nursing woman. Pediatric Use Safety and effectiveness in pediatric patients have not been established.

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