{"id":6081,"date":"2020-12-31T15:09:19","date_gmt":"2020-12-31T15:09:19","guid":{"rendered":"https:\/\/zeepedia.com\/?p=6081"},"modified":"2021-07-02T06:47:00","modified_gmt":"2021-07-02T06:47:00","slug":"bicavera-1-5-glucose-1-25mmol-l-calcium","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/bicavera-1-5-glucose-1-25mmol-l-calcium\/","title":{"rendered":"BicaVera 1.5% Glucose, 1.25mmol \/ l Calcium uses, dose and side effects"},"content":{"rendered":"\n
\n\nperitoneal dialysis fluid <\/p>\n\n\n\n
1. What bicaVera is and what it is used for<\/h2>\n\n\n\n
bicaVera is used for purifying the blood via the peritoneum ( peritoneum ) in patients with chronic renal failure. This type of blood purification is called peritoneal dialysis. <\/p>\n\n\n\n
2. What you need to know before using bicaVera<\/h2>\n\n\n\n
Do not use bicaVera 1.5% Glucose, 1.25 mmol \/ l Calcium<\/h2>\n\n\n\n
if you have very low potassium levels<\/strong> in your blood<\/li>
if you have very low calcium levels<\/strong> in your blood <\/li><\/ul>\n\n\n\n
Peritoneal dialysis treatment should not be started at<\/strong><\/p>\n\n\n\n
changes in the abdomen or in the abdominal cavity that include:
injuries or after surgery,<\/li>
severe burns<\/li>
widespread inflammation is of the skin<\/li>
peritonitis<\/li>
non-healing exuding wounds<\/li>
umbilical, groin, or diaphragmatic hernia<\/li>
the tumor is in the abdomen or intestines<\/li><\/ul><\/li>
inflammatory bowel diseases<\/li>
tarmvred<\/li>
if you have a lung disease, especially pneumonia<\/li>
blood poisoning caused by bacteria<\/li>
extremely high-fat levels in the blood<\/li>
cases of urinary intoxication in the blood that cannot be treated with peritoneal dialysis<\/li>
severe malnutrition and weight loss especially when adequate protein intake through food is not possible<\/li><\/ul>\n\n\n\n
Warnings and cautions<\/h2>\n\n\n\n
Tell your doctor immediately<\/p>\n\n\n\n
if your electrolyte content (salinity) decreases sharply<\/strong> due to vomiting and \/ or diarrhea<\/strong><\/li>
if you have an overproduction of parathyroid hormone or have low calcium levels in your blood. It may be necessary to use phosphate binders that contain calcium and \/ or vitamin D or to use a peritoneal dialysis fluid with a higher calcium concentration.<\/li>
if you have an inflammation of the abdominal cavity<\/strong> . This is characterized by cloudy discharge, abdominal pain, fever, general malaise or, in very rare cases, sepsis. The drainage bag with the cloudy dialysate should be taken to your doctor.<\/li>
if you have polycystic kidneys<\/strong> (hereditary kidney disease)<\/li>
if you have severe abdominal pain, swollen abdomen, or vomiting<\/strong>. This can be a sign of a condition called encapsulating peritoneal sclerosis, a complication of peritoneal dialysis treatment that can be fatal.<\/li><\/ul>\n\n\n\n
Peritoneal dialysis can lead to loss of protein you<\/strong> and the water-soluble vitamins you<\/strong> . To avoid nutritional deficiencies, a good diet or nutritional supplement is recommended. <\/p>\n\n\n\n
Electrolyte (salt) balance, blood levels, kidney function, body weight and nutritional status will be checked by your doctor.<\/p>\n\n\n\n
Other medicines and bicaVera<\/h2>\n\n\n\n
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines. <\/p>\n\n\n\n
Peritoneal dialysis may affect the effectiveness of other medicines and your doctor may need to change their dosage. This is especially important for:<\/p>\n\n\n\n
Cardiac medicine<\/strong>, eg digitalis. Your doctor will check your blood potassium level and take the necessary action if necessary.<\/li>
Medicines that affect calcium levels<\/strong>, such as those that contain calcium or vitamin D.<\/li>
Medicines that increase urine production<\/strong>, such as diuretics.<\/li>
Medications<\/strong> are taken by mouth and lowering blood sugar<\/strong> or insulin. Your blood sugar level should be measured regularly.<\/li><\/ul>\n\n\n\n
Pregnancy and breastfeeding<\/h2>\n\n\n\n
If you are pregnant or breast-feeding, 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
There is insufficient information from the use of bicaVera during pregnancy or breast-feeding. If you are pregnant or breast-feeding, only use bicaVera if your doctor considers it absolutely necessary.<\/p>\n\n\n\n
Driving and using machines<\/h2>\n\n\n\n
bicaVera has no or negligible effect on the ability to drive and use machines. <\/p>\n\n\n\n
3. How to use bicaVera<\/h2>\n\n\n\n
Always use this medicine exactly as your doctor or pharmacist has told you. Ask your doctor or pharmacist if you are unsure. <\/p>\n\n\n\n
Your doctor will adapt the method, how long and how often the dialysis should take place and what volume is needed and how long the solution should be kept in the abdominal cavity, to your needs.<\/p>\n\n\n\n
If you experience tension in the abdominal cavity, your doctor may reduce the volume of dialysis. <\/p>\n\n\n\n
Adults<\/strong>: The usual dose is 2000 – 2500 ml dialysis fluid four times a day, depending on body weight and kidney function. The solution is kept in the abdominal cavity for 2-10 hours, after which it is emptied.<\/li>
Children<\/strong>: The doctor adjusts the volume of dialysis fluid needed depending on the child’s tolerance, age, and body surface area. The recommended starting dose is 600-800 ml \/ m 2<\/sup> body surface area (up to 1000 ml \/ m 2<\/sup> body surface area overnight) four times daily.<\/li><\/ul>\n\n\n\n
bicaVera sleep safe should be used for this. Bag changes are automatically checked by the machine during the night.<\/p>\n\n\n\n
Adults: The<\/strong> usual dose is 2000 ml (maximum 3000 ml) per treatment period with 3-10 treatment periods during the night within a time period of 8-10 hours and one or two treatment periods during the day.<\/li>
Children: The<\/strong> volume per treatment period should be 800-1000 ml \/ m 2<\/sup> (up to 1400 ml \/ m 2<\/sup> ) body surface area with 5-10 treatment periods overnight.<\/li><\/ul>\n\n\n\n
Use the only<\/strong> bicaVera in the abdominal cavity<\/strong>. <\/p>\n\n\n\n
Only use bicaVera if the solution is ready and the packaging is undamaged. <\/p>\n\n\n\n
bicaVera is supplied in a double-chamber bag. The solutions in the two chambers must be mixed before use according to the instructions. <\/p>\n\n\n\n
Handling instructions<\/strong> <\/p>\n\n\n\n
Instructions for use for the stay safe system for continuous outpatient peritoneal dialysis ( CAPD )<\/em><\/p>\n\n\n\n
The liquid bag must first be warmed to body temperature. The heating must be done with a dedicated hotplate. The heating time for a 2000 ml bag with an initial temperature of 22 \u00baC is about 2 hours (120 minutes). More detailed information can be found in the operating instructions for the hotplate. Microwave ovens must not be used for heating due to the risk of local overheating. After heating the liquid bag, the bag change can begin. <\/p>\n\n\n\n
Preparation of the solution<\/strong>
Check the heated liquid bag (label, expiration date, that the liquid is ready, that the bag and outer casing are intact and that the weld is intact).<\/li>
Place the bag on a firm surface.<\/li>
Open the outer casing of the bag and open the packaging for the disinfection sleeve.<\/li>
Wash hands with a disinfectant soap solution.<\/li>
Roll up the bag, which is located on the outer cover, from one of the sides until the middle joint opens. The solutions in the two chambers are mixed automatically.<\/li>
Then roll up the bag from the top edge until the joint in the lower triangle is completely open.<\/li>
Check that all joints are fully open.<\/li>
Check that the solution is ready and that the bag is not leaking.<\/li><\/ul><\/li>
Preparation for bag change<\/strong>
Hang the liquid bag at the top of the drip stand, roll up the hose from the liquid bag and place the flow selector in the holder. Roll up the hose to the drainage bag and hang the drainage bag at the bottom of the drip stand.<\/li>
Place the catheter extension in one of the two holes in the holder.<\/li>
Place the new disinfection sleeve in the second hole in the holder.<\/li>
Disinfect your hands and remove the plug from the flow selector.<\/li>
Connect the catheter extension to the flow selector.<\/li><\/ul><\/li>
Outflow<\/strong>
Open the clamp on the catheter extension, position “\u25cf”. The outflow begins.<\/li><\/ul><\/li>
Flushing<\/strong>
After the outflow is completed, turn the flow selector clockwise to the “\u25cf\u25cf” position. Flushing takes place from liquid bag to drainage bag (approx. 5 sec).<\/li><\/ul><\/li>