Glucose 13.6 mg \/ ml (1.36% w \/ v), 22.7 mg \/ ml (2.27% w \/ v), 38.6 mg \/ ml (3.86% w \/ v), Clear -Flex, peritoneal dialysis fluid<\/p>\n\n\n\n
Physioneal 40 is a\u00a0peritoneal dialysis fluid.\u00a0It removes water and waste products from the blood.\u00a0It also corrects abnormal levels of components in the blood.\u00a0Physioneal 40 is available with different glucose contents (1.36%, 2.27%, and 3.86%).\u00a0The stronger the glucose content of the solution, the more water it will draw from the blood.<\/p>\n\n\n\n
Physioneal 40 can be prescribed to you if you suffer from:<\/p>\n\n\n\n
Physioneal 40 has an acidity ( pH ) that is close to the blood. Therefore, it can be especially useful if you experience pain or discomfort when ingesting other peritoneal dialysis fluids that are more acidic.<\/p>\n\n\n\n
The first time you use the product, a doctor should monitor the procedure.<\/p>\n\n\n\n
In some cases the use of Physioneal 40 in a Clear-Flex bag is not recommended:<\/p>\n\n\n\n
– for children who need a filling volume that is less than 1600 ml.<\/p>\n\n\n\n
Before use you need:<\/p>\n\n\n\n
Talk to your doctor before using Physioneal 40.<\/strong><\/p>\n\n\n\n Be especially careful:<\/strong><\/p>\n\n\n\n – if you have problems affecting the abdominal wall or abdominal cavity. For example, if you have a hernia or a chronic infectious or chronic inflammatory condition that affects your intestines.<\/p>\n\n\n\n – if you have a (graft) prosthesis in the large carotid artery<\/p>\n\n\n\n – if you have severe breathing problems.<\/p>\n\n\n\n – if you experience stomach pain, fever, or notice that the dialysate is cloudy, cloudy, or contains particles.\u00a0It may be a sign of\u00a0peritonitis\u00a0(inflamed peritoneum) or\u00a0infection.\u00a0Contact your medical care team immediately.\u00a0Make a note of the batch number and take it with you to the dialysate bag for your healthcare team.\u00a0They will decide if the treatment should be stopped or if any other treatment needs to be started.\u00a0For example, if you have an\u00a0infection, your doctor may take certain samples to find out which\u00a0antibiotic\u00a0is best for you.\u00a0Until the doctor knows what kind of\u00a0infection\u00a0you have, you can get an\u00a0antibiotic that is effective against a large number of different bacteria.\u00a0This is called a broad-spectrum antibiotic.<\/p>\n\n\n\n – If you have a high level of lactic acid in your blood. You have a greater risk of lactic acidosis if:<\/p>\n\n\n\n – If you have diabetes and use this fluid, the dose of one of the medicines used to adjust your blood sugar level (eg insulin ) should be evaluated regularly. Especially when peritoneal dialysis treatment is started or changed, the dose of one of your diabetes medicines may need to be adjusted.<\/p>\n\n\n\n – If you are allergic to maize, which may cause a\u00a0hypersensitivity reaction, including a severe\u00a0allergic reaction, called\u00a0anaphylaxis.\u00a0Discontinue the\u00a0infusion\u00a0immediately and remove the solution from the abdominal cavity.<\/p>\n\n\n\n – If you have a high level of parathyroid hormone in the blood due to your kidney disease. The low level of calcium in Physioneal 40 may aggravate hyperparathyroidism. Your doctor will monitor the level of parathyroid hormone in your blood.<\/p>\n\n\n\n – You should, possibly in consultation with your doctor, keep a record of fluid balance and body weight.\u00a0Your doctor will monitor your blood levels at regular intervals.\u00a0Especially for salts (eg bicarbonate,\u00a0potassium,\u00a0magnesium,\u00a0calcium,\u00a0and\u00a0phosphate\u00a0), parathyroid hormone, and fats.<\/p>\n\n\n\n – If you have high levels of bicarbonate in your blood.<\/p>\n\n\n\n – Do not use more solutions than your doctor prescribed.\u00a0Symptoms of over-infusion are a feeling of tension in the abdomen, a feeling of satiety, and shortness of breath.<\/p>\n\n\n\n – Your doctor will measure your potassium levels regularly. If they get too low, you can get potassium chloride to compensate.<\/p>\n\n\n\n – If\u00a0flushing\u00a0or opening and closing of clamps occur in the wrong order, it can result in air entering the abdominal cavity, which can cause abdominal pain and\/or\u00a0inflammation\u00a0of the peritoneum (\u00a0peritonitis\u00a0).<\/p>\n\n\n\n A condition called encapsulating peritoneal sclerosis (EPS) is a known, rare complication of peritoneal dialysis treatment. You should, possibly in consultation with your doctor, be aware of this possible complication. Encapsulating peritoneal sclerosis causes:<\/p>\n\n\n\n \u2022 inflammation of the abdomen (stomach)<\/p>\n\n\n\n \u2022 thickening of the intestines that can lead to abdominal pain, distended abdomen, or vomiting.\u00a0EPS can be fatal.<\/p>\n\n\n\n Children<\/strong><\/p>\n\n\n\n Your doctor will assess the risk against the benefits of using this medicine if you are younger than 18 years old.<\/p>\n\n\n\n need potassium and calcium supplements.<\/p>\n\n\n\n – develop an irregular heartbeat (arrhythmia).<\/p>\n\n\n\n – Your doctor will monitor you closely during treatment, especially your potassium levels<\/p>\n\n\n\n If you are pregnant, breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before taking this medicine.\u00a0Physioneal 40 is not recommended during pregnancy or breastfeeding unless your doctor tells you otherwise.<\/p>\n\n\n\n This treatment can cause fatigue, weakness, blurred vision, and dizziness.\u00a0Do not drive or use any tools or machines if you are affected.<\/p>\n\n\n\n You are responsible for assessing whether you are fit to drive a motor vehicle or perform work that requires sharpened attention.\u00a0One of the factors that can affect your ability in these respects is the use of drugs due to their effects and\/or\u00a0side effects.\u00a0Descriptions of these effects and\u00a0side effects\u00a0can be found in other sections.\u00a0Read all the information in this leaflet for guidance.\u00a0If you are not sure, talk to your doctor or pharmacist.<\/p>\n\n\n\n Physioneal 40 should be inserted into the abdominal cavity. It is the space in the abdomen (stomach) between the skin and the peritoneum. The peritoneum is the membrane that surrounds the internal organs such as the intestines and liver. It is not for intravenous use.<\/p>\n\n\n\n Always use this medicine exactly according to the instructions of the care team that specializes in\u00a0peritoneal dialysis.\u00a0Consult a doctor if you are unsure.<\/p>\n\n\n\n If the bag is damaged, it must be discarded.<\/p>\n\n\n\n How much and how often<\/strong><\/p>\n\n\n\n Your doctor will prescribe the appropriate glucose strength and the appropriate number of bags for you to use each day.<\/p>\n\n\n\n Use for children and adolescents<\/strong><\/p>\n\n\n\n If you are under 18 years of age, your doctor will carefully assess the prescription of this medicine.<\/p>\n\n\n\n If you stop using Physioneal 40<\/strong><\/p>\n\n\n\n Do not stop treatment with peritoneal dialysis without your doctor’s consent. Discontinuation of treatment may have life-threatening consequences.<\/p>\n\n\n\n Method of use<\/strong><\/p>\n\n\n\n Before use:<\/p>\n\n\n\n After use, check that the drained liquid is not cloudy.<\/p>\n\n\n\n Compatibility with other drugs<\/strong><\/p>\n\n\n\n Your doctor may prescribe other injectable medicines to be added directly to the Physioneal 40 bag. In this case, the medicine should be added through the injection port on the large chamber before opening the long seal. Use the product immediately after the drug has been added. Ask your doctor if you are unsure.<\/p>\n\n\n\n If you infuse too much Physioneal 40 you can get:<\/p>\n\n\n\n – stretched abdomen<\/p>\n\n\n\n feeling full and\/or<\/p>\n\n\n\n – shortness of breath.<\/p>\n\n\n\n Contact your doctor immediately. He informs you about what to do.<\/p>\n\n\n\n If you have any further questions on the use of this product, ask your doctor or nurse.<\/p>\n\n\n\n Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n Contact your doctor or dialysis department immediately if you get any of the following:<\/p>\n\n\n\n These are serious\u00a0side effects.\u00a0You may need immediate medical attention.<\/p>\n\n\n\n If you get any\u00a0side effects, talk to your doctor or doctor.\u00a0This also applies to\u00a0side effects\u00a0that are not mentioned in this information.<\/p>\n\n\n\n Common (may affect up to 1 in 10 people):<\/em><\/p>\n\n\n\n Uncommon (may affect up to 1 in 100 people):<\/em><\/p>\n\n\n\n – Reduced fluid secretion during\u00a0dialysis.<\/p>\n\n\n\n Fainting, tiredness, or headache.<\/p>\n\n\n\n – Turbid dialysate from the abdominal cavity, abdominal pain.<\/p>\n\n\n\n – Bleeding in the abdominal cavity, scarring, swelling, or pain at the starting point of the catheter, stop in the catheter.<\/p>\n\n\n\n – Nausea, decreased appetite, flatulence (thirst), thirst, dry mouth<\/p>\n\n\n\n – Stretched abdomen or inflammation in the abdomen, pain in the shoulders, hernia in the abdominal cavity (bulging in the groin).<\/p>\n\n\n\n – Changing your blood tests:<\/p>\n\n\n\n – lactic acidosis<\/p>\n\n\n\n increased carbon dioxide content<\/p>\n\n\n\n – increased sugar content (hyperglycemia)<\/p>\n\n\n\n – increased white blood cell count ( eosinophilia )<\/p>\n\n\n\n – Difficulty sleeping<\/p>\n\n\n\n – Low blood pressure ( hypotension )<\/p>\n\n\n\n – Hosta<\/p>\n\n\n\n – Pain in muscles or legs<\/p>\n\n\n\n – Swelling of the face or neck<\/p>\n\n\n\n Rash<\/p>\n\n\n\n Other side effects associated with peritoneal dialysis treatment:<\/em><\/p>\n\n\n\n – infection at the catheter starting point, stop in the catheter.<\/p>\n\n\n\n Dispose of Physioneal 40 according to the instructions given to you.<\/p>\n\n\n\n This leaflet does not contain all the information about the medicine.\u00a0Ask your doctor if you have any questions or are unsure<\/p>\n\n\n\n The other ingredients are: water for\u00a0injection, sodium hydroxide,\u00a0hydrochloric acid<\/p>\n\n\n\n Not all pack sizes may be marketed.<\/p>\n\n\n\n Further information on this medicinal product can be obtained from the marketing authorization holder:<\/p>\n\n\n\n Baxter Medical AB<\/p>\n\n\n\n Box 63<\/p>\n\n\n\n 164 94 Kista<\/p>\n\n\n\n Tel: 08-632 64 00<\/p>\n\n\n\n Manufacturer:<\/strong><\/p>\n\n\n\n This medicinal product is authorized under the European Economic Area under the names:<\/strong><\/p>\n\n\n\n Austria, Belgium, Bulgaria, Croatia, Cyprus, Czech Republic, Denmark, Estonia, Finland, France, Germany, Greece, Hungary, Iceland, Ireland, Latvia, Lithuania, Luxembourg, Malta, Netherlands, Norway, Poland, Portugal, Romania, Slovakia, Slovenia, Spain, Sweden, UK: PHYSIONEAL 40 CLEAR-FLEX<\/p>\n\n\n\n Italy: FIXIONEAL 40<\/p>\n\n\n\n Baxter, Physioneal, and Clear-Flex are trademarks of Baxter International Inc.<\/p>\n","protected":false},"excerpt":{"rendered":" Physioneal 40 is a peritoneal dialysis fluid . It removes water and waste products from the blood. It also corrects abnormal levels of components in the blood. Physioneal 40 is available with different glucose contents (1.36%, 2.27% and 3.86%). The stronger the glucose content of the solution, the more water it will draw from the blood.<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,18527],"tags":[19402,21240,3276,3279,21236,21239,8834,21237,8835,21238],"class_list":["post-20818","post","type-post","status-publish","format-standard","hentry","category-medicines","category-p","tag-benefits-of-peritoneal-dialysis-fluid","tag-benefits-of-physioneal-40","tag-peritoneal-dialysis-fluid","tag-peritoneal-dialysis-fluid-side-effects","tag-physioneal-40","tag-physioneal-40-side-effects","tag-what-is-peritoneal-dialysis-fluid","tag-what-is-physioneal-40","tag-what-peritoneal-dialysis-fluid-is-used-for","tag-what-physioneal-40-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20818","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=20818"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20818\/revisions"}],"predecessor-version":[{"id":20858,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/20818\/revisions\/20858"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=20818"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=20818"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=20818"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}Other medicines and Physioneal 40<\/h2>\n\n\n\n
Pregnancy and breastfeeding<\/h2>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
How to use Physioneal 40<\/h2>\n\n\n\n
If you use more Physioneal 40 bags than you should in 24 hours<\/h2>\n\n\n\n
Possible side effects<\/h2>\n\n\n\n
How to store Physioneal 40<\/h2>\n\n\n\n
Contents of the package and other information<\/h2>\n\n\n\n
Content declaration<\/h2>\n\n\n\n
<\/th> 1.36%<\/strong><\/th> 2.27%<\/strong><\/th> 3.86%<\/strong><\/th><\/tr> Glucose monohydrate (g \/ l)<\/td> 15.0<\/td> 25.0<\/td> 42.5<\/td><\/tr> corresponds to anhydrous glucose (g \/ l)<\/td> 13.6<\/td> 22.7<\/td> 38.6<\/td><\/tr> Sodium chloride (g \/ l)<\/td> 5.38<\/td><\/tr> Calcium chloride dihydrate (g \/ l)<\/td> 0.184<\/td><\/tr> Magnesium chloride hexahydrate (g \/ l)<\/td> 0.051<\/td><\/tr> Sodium bicarbonate (g \/ l)<\/td> 2.10<\/td><\/tr> Sodium (S) -lactate solution,equivalent to sodium (S) -lactate (g \/ l)<\/td> 1.68<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n <\/th> 1.36%<\/strong><\/th> 2.27%<\/strong><\/th> 3.86%<\/strong><\/th><\/tr> Anhydrous glucose (mmol \/ l)<\/td> 75.5<\/td> 126<\/td> 214<\/td><\/tr> Sodium (mmol \/ l)<\/td> 132<\/td><\/tr> Calcium (mmol \/ l)<\/td> 1.25<\/td><\/tr> Magnesium (mmol \/ l)<\/td> 0.25<\/td><\/tr> Chlorides (mmol \/ l)<\/td> 95<\/td><\/tr> Bicarbonate (mmol \/ l)<\/td> 25<\/td><\/tr> Lactate (mmol \/ l)<\/td> 15<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n
Volume<\/th> Number of each box<\/th> Packagingsize<\/th> Type of coupling<\/th><\/tr> 1.5 l<\/td> 5\/6<\/td> Single two-chamber bag (APD)<\/td> Screw<\/td><\/tr> 1.5 l<\/td> 5\/6<\/td> Duo two-chamber bag ( CAPD )<\/td> Screw<\/td><\/tr> 2.0 l<\/td> 4\/5<\/td> Single two-chamber bag (APD)<\/td> Screw<\/td><\/tr> 2.0 l<\/td> 4\/5<\/td> Duo two-chamber bag ( CAPD )<\/td> Screw<\/td><\/tr> 2.5 l<\/td> 3\/4<\/td> Single two-chamber bag (APD)<\/td> Screw<\/td><\/tr> 2.5 l<\/td> 3\/4<\/td> Duo two-chamber bag ( CAPD )<\/td> Screw<\/td><\/tr> 3.0 l<\/td> 3<\/td> Single two-chamber bag (APD)<\/td> Screw<\/td><\/tr> 3.0 l<\/td> 3<\/td> Duo two-chamber bag ( CAPD )<\/td> Screw<\/td><\/tr> 4.5 l<\/td> 2<\/td> Single two-chamber bag (APD)<\/td> Screw<\/td><\/tr> 5.0 l<\/td> 2<\/td> Single two-chamber bag (APD)<\/td> Screw \/\/ Screw and HomeChoice APD set with screw coupling<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n
Baxter Healthcare SAMoneen RoadCastlebarCounty Mayo – Ireland<\/td> Bieffe Medital SpA,Via Nuova Provinciale23034 Grosotto,Italy<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n