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Polyglukin solution for infusions 200ml
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Indications:
Solutions of high molecular dextran: severe post-hemorrhagic hypovolemia, hypovolemic shock due to injury, blood loss during childbirth, as a result of ectopic pregnancy, etc. Hypovolemia due to plasma loss (burns, compression syndrome). Preoperative and postoperative prevention of embolism. Solutions of low molecular weight dextran: microcirculation disorders, traumatic shock, burn shock, compression syndrome. Septic shock. Replacement of plasma volume in blood loss in pediatrics. For filling the heart-lung machine (in certain proportions with blood). Dextran with a molecular weight of 1000: prevention of severe allergic reactions to the intravenous injection of dextran solutions.
Contraindications:
Injuries to the skull with increased intracranial pressure, cerebral hemorrhage, and other cases where the administration of large amounts of fluid is not indicated. Oliguria and anuria, caused by organic kidney disease, heart failure, impaired coagulation and hemostasis, a tendency to allergic reactions. For solutions with glucose - diabetes mellitus and other disorders of carbohydrate metabolism.
Mode of application:
Solutions of high-molecular dextran are introduced into / in at a rate of 60-80 drops per minute in amounts up to2-2.5 l (with significant blood loss - with the additional introduction of blood). Solutions of low molecular weight dextran, when used as a blood substitute, are usually administered in the same doses. In other cases, the daily dose should not exceed 20 ml / kg. The rate of intravenous infusion is determined by the indications and severity of the patient's condition. Dextran with a molecular weight of 1000 is administered intravenously in a jet to adults at a dose of 3 g (20 ml), for children - at a dose of 45 mg / kg (0.3 ml / kg) - per 1 2 min. Before / in the infusion of the dextran solution. The interval between the introduction of dextran with a molecular weight of 1000 and the infusion of the dextran solution should not exceed 15 minutes. If more than 15 minutes have passed, then the dextran with a molecular weight of 1000 should be entered again. It can be administered before each infusion of dextran solution, especially if more than 48 hours have passed since the previous infusion.