{"id":22163,"date":"2022-06-21T07:07:22","date_gmt":"2022-06-21T07:07:22","guid":{"rendered":"https:\/\/zeepedia.com\/?p=22163"},"modified":"2022-06-21T10:36:32","modified_gmt":"2022-06-21T10:36:32","slug":"ringer-acetate-fresenius-kabi","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/ringer-acetate-fresenius-kabi\/","title":{"rendered":"Ringer acetate Fresenius Kabi &#8211; Electrolytes uses, dose and side effects"},"content":{"rendered":"\n<p>infusion solution<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Rener Acetate Fresenius Kabi is and what it is used for<\/h2>\n\n\n\n<p>Ringer&#8217;s acetate Fresenius Kabi contains\u00a0electrolytes\u00a0(salts) (sodium chloride, sodium acetate trihydrate, potassium chloride, calcium chloride dihydrate, magnesium chloride hexahydrate).\u00a0Ringer&#8217;s acetate Fresenius Kabi is used to treat fluid loss and\u00a0electrolyte\u00a0(salt) imbalance.\u00a0Fluid loss and\/or electrolyte imbalance can occur e.g.\u00a0a surgery, injury, or burns.\u00a0Ringer&#8217;s acetate Fresenius Kabi can also be used as a short-term treatment for reduced blood volume.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before you are given Fringerius Kabi Ringer Acetate<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Ringer&#8217;s acetate Fresenius Kabi<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to sodium chloride, sodium acetate trihydrate, potassium chloride, calcium chloride dihydrate, magnesium chloride hexahydrate, or any of the other ingredients of this medicine (listed in section 6).<\/li><li>in premature infants and newborns (\u2264 28 days of age): Your baby will not receive ceftriaxone (a type of\u00a0antibiotic\u00a0) as a drip into a blood vessel at the same time as this medicine.<\/li><li>if you have too much fluid in areas around the body&#8217;s cells (\u00a0extracellular\u00a0hyperhydration).<\/li><li>if you have a larger than normal amount of blood in your body (\u00a0hypervolemia\u00a0).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or nurse before receiving Fringerius Kabi Ringer Acetate if:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>you have pain or\u00a0infection<\/li><li>you have heart and lung weight, heart disorders, high\u00a0blood pressure\u00a0or swelling<\/li><li>you have a liver disease\u00a0<\/li><li>you have impaired kidney function<\/li><li>you are pregnant and have had seizures associated with pregnancy poisoning<\/li><li>Your steroid hormone production is impaired<\/li><li>your fluid loss occurred suddenly or you have severe burns<\/li><li>you have a disease associated with elevated levels of\u00a0vitamin\u00a0D.<\/li><li>you suffer from a condition that can cause high levels of\u00a0vasopressin, a\u00a0hormone\u00a0that regulates the fluid in your body, such as:<ul><li>sudden and severe illness or injury<\/li><li>you have recently undergone surgery<\/li><li>brain disease<\/li><li>you are taking special medicines (see section Other medicines and Ringer&#8217;s acetate Fresenius Kabi). This can increase the risk of low\u00a0sodium\u00a0levels in your blood and can lead to headaches, nausea, cramps,\u00a0lethargy, vomiting, and swelling of the brain.\u00a0Brain swelling increases the risk of death and brain damage.\u00a0People who are at higher risk of getting brain swelling are:<ul><li>children<\/li><li>women of\u00a0childbearing\u00a0potential<\/li><li>people who have problems with their fluid levels in the brain, for example, due to\u00a0meningitis, cerebral hemorrhage, or brain damage.<\/li><\/ul><\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>you have\u00a0Myasthenia Gravis\u00a0(MG), a disease that causes weakness in the skeletal muscles<\/li><li>you receive a\u00a0blood transfusion\u00a0(see section Other medicines and Ringer&#8217;s acetate Fresenius Kabi)<\/li><li>you have metabolic or\u00a0respiratory\u00a0acidosis\u00a0(a condition in which acidic substances accumulate in the body).<\/li><li>you are treated with a special\u00a0antibiotic\u00a0called ceftriaxone, as it should not be mixed or given at the same time as calcium-containing solutions given to you as a drip into a vein.\u00a0Your doctor will know about this and will not give them to you together, not even through different infusion tubes or at different infusion sites.<ul><li>In patients older than 28 days, however, the doctor may give\u00a0calcium\u00a0and ceftriaxone consecutively if infusion tubes are used at different infusion sites, or if the infusion tubes are replaced, or rinsed thoroughly with a physiological saline solution between the\u00a0infusions\u00a0to avoid particle formation (precipitation).\u00a0If you or your child have low blood volume, your doctor will avoid giving\u00a0you calcium\u00a0and ceftriaxone one after the other.<\/li><\/ul><\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Ringer&#8217;s acetate Fresenius Kabi<\/h2>\n\n\n\n<p>Tell your doctor if you are taking, have recently taken, or might take any other medicines.\u00a0<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You must tell your doctor if you are taking medicines that affect the\u00a0hormone\u00a0et\u00a0vasopressin.\u00a0These can be:<ul><li>diabetes medicine (chloropropamide)<\/li><li>cholesterol drugs (clofibrate)<\/li><li>epilepsy drug (carbamazepine)<\/li><li>amphetamine-like drugs<\/li><li>certain cancer drugs (vincristine, ifosfamide, cyclophosphamide)<\/li><li>selective serotonin reuptake inhibitors (used to treat depression)<\/li><li>drugs for\u00a0psychosis<\/li><li>opioid\u00a0you for severe pain<\/li><li>medicines for pain and\/or\u00a0inflammation\u00a0(also called NSAIDs)<\/li><li>drugs that are similar to or potentiate the effect of\u00a0vasopressin\u00a0such as\u00a0desmopressin (used to treat increased thirst and urination), terlipressin (used to treat esophageal bleeding), and\u00a0oxytocin\u00a0(used to initiate labor)<\/li><li>other drugs that increase the risk of\u00a0hyponatremia\u00a0which also includes\u00a0diuretics\u00a0(\u00a0diuretics\u00a0) in general and epilepsy drugs such as.\u00a0oxcarbazepine.<\/li><\/ul><\/li><\/ul>\n\n\n\n<ul class=\"wp-block-list\"><li>Blood should not be given through the same infusion set as Ringer&#8217;s acetate Fresenius Kabi due to the risk of possible\u00a0coagulation<\/li><li>Suxamethone (muscle relaxant) and\u00a0potassium\u00a0are given concomitantly with Ringer&#8217;s acetate Fresenius Kabi can cause noticeably high levels of potassium in the blood.<\/li><li>The effect of muscle relaxants (such as suxamethonium and vecuron) can be enhanced by Ringer&#8217;s acetate Fresenius Kabi.<\/li><li>Drugs that can make\u00a0potassium\u00a0and\u00a0sodium\u00a0stay in the body.\u00a0Examples of such drugs are:<ul><li>corticosteroids\/steroids (used to treat\u00a0asthma\u00a0and rheumatological diseases, for example)<\/li><li>potassium-sparing agents (\u00a0diuretics\u00a0used in, for example,\u00a0heart failure\u00a0)<\/li><li>ACE inhibitor\u00a0(used to treat high\u00a0blood pressure\u00a0and\u00a0heart failure\u00a0)<\/li><li>tacrolimus (used after organ transplants or to treat\u00a0atopic eczema\u00a0)<\/li><li>cyclosporine (used after organ transplants or to treat\u00a0rheumatoid arthritis,\u00a0psoriasis,\u00a0or kidney disease).<\/li><\/ul><\/li><li>Digitalis glycosides\u00a0(used to treat\u00a0heart failure\u00a0and heart rhythm disorders, the effect may be enhanced by Ringer&#8217;s acetate Fresenius Kabi and increase the risk of\u00a0side effects.<\/li><li>Drugs such as salicylates (painkillers or used to prevent blood clots) and lithium (used to treat\u00a0bipolar disorder\u00a0) may be reduced as Ringer&#8217;s acetate Fresenius Kabi increases the secretion of these drugs.<\/li><li>Drugs such as\u00a0ephedrine\u00a0(found in cough medicines), pseudoephedrine (used for\u00a0allergies\u00a0), and amphetamine, the effect may increase because Ringer&#8217;s acetate Fresenius Kabi reduces the secretion of these drugs.<\/li><li>Concomitant use with ceftriaxone (an\u00a0antibiotic\u00a0) is not recommended when given\u00a0intravenously\u00a0(see section Warnings and precautions).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding, and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before using this medicine.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to give Ringer acetate Fresenius Kabi<\/h2>\n\n\n\n<p>Dosage\u00a0one is individual and depends on the patient&#8217;s age, body weight, and disease state.<\/p>\n\n\n\n<p>Ringer&#8217;s acetate Fresenius Kabi will be given to you by a doctor or nurse.&nbsp;Ringer&#8217;s acetate Fresenius Kabi is given as a drip into a vein (&nbsp;intravenous&nbsp;infusion&nbsp;).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">If you are given too much Ringer&#8217;s acetate Fresenius Kabi&nbsp;<\/h2>\n\n\n\n<p>Ringer&#8217;s acetate Fresenius Kabi solution for&nbsp;infusion&nbsp;will be given to you by a healthcare professional, so it is unlikely that you will receive too much medicine.&nbsp;Talk to your doctor or nurse if you experience symptoms of overdose such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Stretched skin,\u00a0edema\u00a0(swelling), or various disorders in your blood values.<\/li><\/ul>\n\n\n\n<p>If you have any further questions on the use of this product, ask your doctor or nurse.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<\/p>\n\n\n\n<p><strong>Tell your doctor or nurse immediately<\/strong>\u00a0if you get any symptoms of severe anaphylactic\/anaphylactoid reaction (allergic shock) such as.\u00a0swelling of the face, tongue, or throat, difficulty swallowing,\u00a0hives,\u00a0and difficulty breathing.\u00a0(Rare\u00a0side effects\u00a0can affect up to 1 in 1,000 people.)<\/p>\n\n\n\n<p><strong>Common (may affect up to 1 in 10 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>overhydration (too much fluid in the body)<\/li><li>heart failure\u00a0in patients who already have a heart disease<\/li><li>pulmonary edema\u00a0(accumulation of fluid in the lungs)<\/li><li>fever, injection site infection, local pain\/reaction, irritation,\u00a0inflammation\u00a0and\/or blockage of a vein, and tissue damage (due to accidental\u00a0administration\u00a0of the product outside the vein).<\/li><\/ul>\n\n\n\n<p><strong>Rare (may affect up to 1 in 1,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hypersensitivity reactions, allergic reactions<\/li><li>conjunctivitis\u00a0(\u00a0eye infection\u00a0)<\/li><li>fast or slow heartbeat<\/li><li>rhinitis<\/li><li>hives\u00a0on the whole body or parts of the body which means skin rash, redness, or\u00a0itching<\/li><li>the feeling of pressure in the chest, chest pain.<\/li><\/ul>\n\n\n\n<p><strong>Very rare (may affect up to 1 in 10,000 people)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>abnormal&nbsp;electrolyte&nbsp;(salt) levels in the blood<\/li><li>cramps.<\/li><\/ul>\n\n\n\n<p><strong>No known frequency (can not be calculated from the available data)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>hypervolemia\u00a0(abnormally large amount of blood in the body)<\/li><li>headache, nausea, cramps, sleep-like drowsiness (\u00a0lethargy\u00a0), vomiting.\u00a0This can be caused by too low levels of\u00a0sodium\u00a0in the blood.\u00a0When the blood sodium levels become very low, fluid penetrates the brain cells, causing them to swell.\u00a0This increases the pressure in the skull and causes hyponatremic\u00a0encephalopathy.<\/li><li>low sodium levels in the blood (\u00a0hyponatremia\u00a0)<\/li><li>swelling of the brain which can cause brain damage.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Ringer&#8217;s acetate Fresenius Kabi<\/h2>\n\n\n\n<p>No special storage instructions.<\/p>\n\n\n\n<p>For storage instructions after opening, see the section for Healthcare professionals.<\/p>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<\/p>\n\n\n\n<p>Do not use this medicine after the expiry date which is stated on the label\/carton.\u00a0The expiration date is the last day of the specified month.<\/p>\n\n\n\n<p>Do not use this medicine if the solution is not clear and colorless or if the infusion bag is damaged.<\/p>\n\n\n\n<p>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the pack and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substances are:<\/li><\/ul>\n\n\n\n<p><a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19780303000034#\" rel=\"noopener\">Show larger<\/a><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><\/td><td>1 ml contains<\/td><td>1,000 ml contains<\/td><\/tr><tr><td>Sodium chloride<\/td><td>5.9 mg<\/td><td>5,900 mg<\/td><\/tr><tr><td>Sodium acetate trihydrate<\/td><td>4.1 mg<\/td><td>4 100 mg<\/td><\/tr><tr><td>Potassium chloride<\/td><td>0.3 mg<\/td><td>300 mg<\/td><\/tr><tr><td>Calcium chloride dihydrate<\/td><td>0.295 mg<\/td><td>295 mg<\/td><\/tr><tr><td>Magnesium chloride hexahydrate<\/td><td>0.2 mg<\/td><td>200 mg<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>The corresponding electrolyte content is: <a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=19780303000034#\" rel=\"noopener\">Show larger<\/a><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><\/td><td>1,000 ml contains<\/td><\/tr><tr><td>Cl&nbsp;<sup>&#8211;<\/sup><\/td><td>about 4,000 mg<\/td><td>112 mmol<\/td><\/tr><tr><td>Na&nbsp;<sup>+<\/sup><\/td><td>2,990 mg<\/td><td>131 mmol<\/td><\/tr><tr><td>CH&nbsp;<sub>3<\/sub>&nbsp;COO&nbsp;<sup>&#8211;<\/sup>&nbsp;(acetate)<\/td><td>1 770 mg<\/td><td>30 mmol<\/td><\/tr><tr><td>K&nbsp;<sup>+<\/sup><\/td><td>156 mg<\/td><td>4 mmol<\/td><\/tr><tr><td>Ca&nbsp;<sup>2+<\/sup><\/td><td>80 mg<\/td><td>2 mmol<\/td><\/tr><tr><td>Mg&nbsp;<sup>2+<\/sup><\/td><td>24 mg<\/td><td>1 mmol<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li>The other ingredients are: water for injections, and concentrated\u00a0hydrochloric acid\u00a0(for\u00a0pH\u00a0adjustment).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and the contents of the pack<\/h2>\n\n\n\n<p>Infusion&nbsp;solution.<\/p>\n\n\n\n<p>Clear, colorless,\u00a0isotonic,\u00a0sterile,\u00a0and pyrogen-free solution with\u00a0pH\u00a0of about 6 and osmolality of about 270 mOsm \/ kg water.<\/p>\n\n\n\n<p>Polypropylene bag (Freeflex): 15 x 500 ml, 20 x 500 ml, 10 x 1000 ml.<\/p>\n\n\n\n<p>Plastic container (Pharmaflex): 4 x 2000 ml, 2 x 5000 ml.<\/p>\n\n\n\n<p>Plastic container, Excel: 9 x 1000 ml<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p>Fresenius Kabi AB, 751 74 Uppsala<\/p>\n\n\n\n<p><strong>Manufacturer<\/strong><\/p>\n\n\n\n<p>Fresenius Kabi Norge AS, Svinesundsveien 80, 1788 Halden, Norway<\/p>\n\n\n\n<p>Fresenius Kabi France, Louviers, France<\/p>\n","protected":false},"excerpt":{"rendered":"<p>infusion solution What Rener Acetate Fresenius Kabi is and what it is used for Ringer&#8217;s acetate Fresenius Kabi contains\u00a0electrolytes\u00a0(salts) (sodium chloride, sodium acetate trihydrate, potassium chloride, calcium chloride dihydrate, magnesium chloride hexahydrate).\u00a0Ringer&#8217;s acetate Fresenius Kabi is used to treat fluid loss and\u00a0electrolyte\u00a0(salt) imbalance.\u00a0Fluid loss and\/or electrolyte imbalance can occur e.g.\u00a0a surgery, injury, or burns.\u00a0Ringer&#8217;s acetate [&hellip;]<\/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":[2200,18529],"tags":[5002,14274,14284,4230,23028,23029,14222,11616,23030,23031],"class_list":["post-22163","post","type-post","status-publish","format-standard","hentry","category-medicines","category-r","tag-calcium-chloride-dihydrate","tag-electrolytes","tag-magnesium-chloride-hexahydrate","tag-potassium-chloride","tag-ringer-acetate-fresenius-kabi","tag-ringer-acetate-fresenius-kabi-side-effects","tag-sodium-acetate-trihydrate","tag-sodium-chloride","tag-what-is-ringer-acetate-fresenius-kabi","tag-what-ringer-acetate-fresenius-kabi-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22163","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=22163"}],"version-history":[{"count":5,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22163\/revisions"}],"predecessor-version":[{"id":22186,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/22163\/revisions\/22186"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=22163"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=22163"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=22163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}