Country: Malaysia
Language: English
Source: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
DEXTROSE MONOHYDRATE/DEXTROSE/GLUCOSE; SODIUM CHLORIDE (SALT)
LUEN WAH MEDICAL CO. SDN. BHD.
DEXTROSE MONOHYDRATE/DEXTROSE/GLUCOSE; SODIUM CHLORIDE (SALT)
500ml mL; 1000 ml mL
PT OTSUKA (INDONESIA)
P.I. 80 mm 210 mm OTSU-D5,NS 5% DEXTROSE AND 0.9% SODIUM CHLORIDE INJECTION U.S.P. COMPOSITION: Each 500mL solution contains 25.00 g Dextrose Monohydrate and 4.50 g Sodium Chloride. DESCRIPTION: Clear, colorless, sterile and pyrogen free solution. DRUG ACTION: Dextrose and Sodium Chloride injection have value as a source of water, electrolytes and calories. They are capable of inducing diuresis depending of the clinical conditions of patient. INDICATION: As an intravenous supply of nutrition, restabillize the electrolyte balance for dehydration. DOSAGE: Intravenous administration, the dosage depending on the patients condition individually. SYMPTOMS AND TREATMENT FOR OVERDOSAGE AND ANTIDOTE (S): - Infusion of dextrose much above 800 mg per kg body weight per hour, dextrose will appear in the urine, causing hyperglycemia. - Large doses will cause accumulation and edema, hypokalemia.Antidote: Insulin injection. WARNING - Dextrose and Sodium Chloride Injection should be used with great care. If at all, in patients with congestive heart failure, severe renal insufficiency, and in clinical states in which there exists oedema with sodium retention. - Dextrose Injection with low electrolyte concentrations should not be administered simultaneously with blood through the same administration set because of the possibility of pseudo agglutination or hemolysis. The container label for those injections bears the statement: Do not administer simultaneously with blood. - The intravenous administration of Dextrose and Sodium Chloride Injection can cause fluid and/or solute over loading resulting in dilution of serum electrolyte concentration, over hydration, congested states, or pulmonary oedema. The risk of dilutional states is inversely proportional to the electrolyte concentration of the injection. The risks of solute overload causing congested states with peripheral and pulmonary oedema. It's directly proportional to the electrolyte concentrations of the injections. - Excessive administration of Dextrose and Sodium Chloride Read the complete document