haemofiltration fluid\u00a0<\/p>\n\n\n\n
Duosol Potassium 4 mmol \/ l is a haemofiltration fluid. It is used for patients with acute renal failure, ie. as the kidneys can no longer eliminate waste products from the blood. Continuous haemofiltration is a method of eliminating the waste products that are normally excreted via the kidneys into the urine. The fluid corrects the fluid balance and replaces salts ( electrolytes ) lost in connection with the treatment.
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Hemofiltration should not be used:<\/p>\n\n\n\n
Talk to your doctor or pharmacist before giving Duosol Potassium 4 mmol \/ l.
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Before and during hemofiltration, your blood pressure, fluid, salt ( electrolyte ) and acid-base balance, and kidney function are checked. Blood glucose and phosphate levels are monitored regularly.
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Also, the concentration of potassium in serum is checked before and during hemofiltration.<\/p>\n\n\n\n
Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.
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Your doctor will consider that the concentration of other drugs in your blood may decrease during hemofiltration.
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Effects on other and other drugs ( interactions ) can be avoided with proper dosing of haemofiltration fluid and close monitoring of treatment.
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The following interactions should be considered:<\/p>\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 or pharmacist for advice before taking this medicine.
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At present, there is no information on the use of haemofiltration fluids during pregnancy. However, as all the ingredients in this medicine are naturally occurring substances that only replace substances lost by the body during haemofiltration, no risks to the baby during pregnancy and breastfeeding or any effects on fertility are expected.<\/p>\n\n\n\n
This medicine is usually given to patients in a hospital\/dialysis unit and this excludes the possibility of driving and using machines.<\/p>\n\n\n\n
You will only be given this medicine under the guidance of a doctor who has experience in haemofiltration treatment.
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Your doctor will prescribe the appropriate dose for you based on your clinical condition, your weight, and your metabolic condition. Unless otherwise specified, the recommended filtration rate is 20-25 ml\/kg body weight\/hour for patients of all ages to remove slag products normally excreted in the urine.
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The ready-to-use liquid is given to you via a tubing system and with an infusion pump that belongs to the haemofiltration device (so-called extracorporeal circulation).
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Acute renal failure is treated for a limited time and treatment is stopped when normal renal function has been restored.<\/p>\n\n\n\n
No life-threatening events have been reported with the use of prescribed doses. Administration can be discontinued immediately if necessary.
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Too much or too little can lead to too much or too little fluid in the body (hyperhydration or dehydration ). This can be detected by changes in blood pressure or heart rate.
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Hydrocarbonate overdose may occur if too much hemofiltration fluid is given.<\/p>\n\n\n\n
This can lead to abnormally low levels of acid in the blood ( metabolic alkalosis ), decreased amount of dissolved calcium in the blood (decrease in ionized calcium ), or muscle cramps.
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Overdose can cause heart failure and\/or blood clotting in the lungs and lead to changes in the salt balance (electrolyte balance) and acid-base balance.
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The doctor prescribes appropriate treatment.
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If you have any further questions on the use of this product, ask your doctor or pharmacist.<\/p>\n\n\n\n
Like all medicines, this medicine can cause side effects, although not everybody gets them<\/p>\n\n\n\n
do not need to get them.
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At present, no side effects associated with this medicine have been reported, but the following side effects are still possible. The frequency of these side effects is not known (can not be calculated from the available data):<\/p>\n\n\n\n
Too much or too little fluid in the body (hyperhydration or dehydration ), an abnormal amount of salts ( electrolytes ) such as. too much potassium in the blood ( hyperkalemia ), low phosphate levels in the blood ( hypophosphatemia ), high blood sugar (hyperglycemia), abnormally low levels of acid in the blood ( metabolic alkalosis ), high or low blood pressure ( hypertension or hypotension ), nausea, vomiting, and muscle cramps.
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Keep this medicine out of the sight and reach of children.
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You will not be given this medicine after the expiry date which is stated on the carton after EXP. The expiration date is the last day of the specified month.
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Storage<\/em><\/p>\n\n\n\n Do not store above 25 \u00b0 C.<\/p>\n\n\n\n Store in a cold place. Do not freeze. Storage of the ready-to-use solution<\/em><\/p>\n\n\n\n The mixed product should be used immediately. The mixed product is physically and chemically stable for 24 hours at 25 \u00b0 C.<\/p>\n\n\n\n Show larger<\/p>\n\n\n\n
<\/p>\n\n\n\n6. Contents of the packaging and other information<\/h2>\n\n\n\n
Content declaration<\/h2>\n\n\n\n
<\/td>Small chamber
Electrolyte solution<\/strong><\/td>Large chamber
Bicarbonate solution<\/strong><\/td><\/tr>The active substances are<\/strong><\/td> 555 <\/strong> ml contains<\/strong><\/td> per
1000 <\/strong> ml<\/strong><\/td>4445 <\/strong> ml contains<\/strong><\/td> per
1000 <\/strong> ml<\/strong><\/td><\/tr>Sodium chloride<\/td> 2.34 g<\/td> 4.21 g<\/td> 27.47 g<\/td> 6.18 g<\/td><\/tr> Potassium chloride<\/td> 1.49 g<\/td> 2.68 g<\/td> –<\/td> –<\/td><\/tr> Calcium chloride dihydrate<\/td> 1.10 g<\/td> 1.98 g<\/td> –<\/td> –<\/td><\/tr> Magnesium chloride hexahydrate<\/td> 0.51 g<\/td> 0.91 g<\/td> –<\/td> –<\/td><\/tr> Glucose monohydrate corresponding to anhydrous glucose<\/td> 5.49 g5.0 g<\/td> 9.90 g9.0 g<\/td> –<\/td> –<\/td><\/tr> Sodium bicarbonate<\/td> –<\/td> –<\/td> 15.96 g<\/td> 3.59 g<\/td><\/tr>
<\/td><\/tr>Electrolytes:<\/strong><\/td> [mmol \/ chamber]<\/strong><\/td> [mmol \/ l]<\/strong><\/td> [mmol \/ chamber]<\/strong><\/td> [mmol \/ l]<\/strong><\/td><\/tr> Na +<\/sup><\/td> 40.0<\/td> 72<\/td> 660<\/td> 149<\/td><\/tr> K +<\/sup><\/td> 20.0<\/td> 36.0<\/td> –<\/td> –<\/td><\/tr> Ca 2+<\/sup><\/td> 7.5<\/td> 13.5<\/td> –<\/td> –<\/td><\/tr> Mg 2+<\/sup><\/td> 2.5<\/td> 4.5<\/td> –<\/td> –<\/td><\/tr> Cl –<\/sup><\/td> 95.0<\/td> 171<\/td> 470<\/td> 106<\/td><\/tr> HCO 3 <\/sub>–<\/sup><\/td> –<\/td> –<\/td> 190<\/td> 42.8<\/td><\/tr> Theoretical osmolarity [mOsm \/ l]<\/td> 347<\/td> 297<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n