Active substanceDextroseDextrose
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  • Dosage form: & nbspsolution for intravenous administration
    Composition:

    In 1 ml of the drug contains:

    active substance: dextrose (glucose) monohydrate in terms of dry matter 400 mg;

    Excipients: solution of hydrochloric acid 0.1 M - to pH 3.0-4.0, sodium chloride 0.26 mg, water for injection up to 1 ml.

    Description:

    Transparent, colorless or slightly yellowish liquid.

    Pharmacotherapeutic group:Nutrition carbohydrate remedy
    ATX: & nbsp

    B.05.C   Irrigation solutions

    V.06.D   Other medications for nutrition

    V.04.C   Other diagnostic preparations

    Pharmacodynamics:

    Glucose increases oxidation-reduction processes in the body, improves the antitoxic function of the liver, covers part of the energy expenditure of the body, as it is a source of easily assimilated carbohydrates. Entering the tissue is phosphorylated, turning into glucose-6-phosphate, which is actively included in many parts of the body's metabolism. 40% the solution is hypertonic. When the hypertonic solution is injected into the vein, the osmotic blood pressure rises, the contractile activity of the cardiac muscle increases, the vessels expand, the detoxification function of the liver improves, and the diuresis increases.

    Pharmacokinetics:

    It is absorbed completely by the body, the kidneys are not excreted (the appearance in the urine is a pathological sign).

    Indications:

    Hypoglycemia, insufficiency of carbohydrate nutrition, toxicoinfection, intoxications in liver diseases (hepatitis, dystrophy and atrophy of the liver, including hepatic insufficiency), hemorrhagic diathesis; intoxication (poisoning with drugs, hydrocyanic acid and its salts, carbon monoxide, aniline, arsenic hydrogen, phosgene, etc.); collapse, shock.

    As a component of various blood-substituting and anti-shock fluids; for the preparation of solutions of drugs for intravenous administration.

    Contraindications:

    Hypersensitivity, hyperglycemia, hyperlactacidemia, hyperhydration, postoperative disorders of glucose utilization; circulatory disorders that threaten edema of the brain and lungs; edema of the brain, pulmonary edema, acute left ventricular failure, hyperosmolar coma.

    Carefully:

    Decompensated chronic heart failure, chronic renal failure (oligo, anuria), hyponatremia, diabetes mellitus.

    Dosing and Administration:

    For adults: glucose is prescribed intravenously, struyno 10-50 ml once, if necessary - intravenously drip - up to 30 cap / min (1.5 ml / min).The maximum daily intake for adults is 250 ml.

    For more complete assimilation of glucose, administered in large doses, simultaneously with her, insulin is prescribed at the rate of 1 unit of insulin per 4-5 g of glucose.

    Diabetes patients with glucose are administered under the control of its content in the blood and urine.

    Side effects:Ion balance disorders, hyperglycemia, glucosuria, fever, hypervolemia, acute left ventricular failure.
    At the injection site - the development of infection, thrombophlebitis.
    Overdose:

    Symptoms: hyperglycemia, glucosuria, hyperglycemic hyperosmolar coma, hyperhydration, disturbances of water-electrolyte balance.

    Treatment: to stop the introduction of glucose, to introduce insulin, symptomatic therapy.

    Interaction:

    Glucose solution should not be mixed with alkaloids (their decomposition takes place), with general anesthetics (decreased activity), glucose weakens the effect of analgesic, adrenomimetic agents, inactivates streptomycin, reduces the effectiveness of nystatin.

    Special instructions:

    Glucose solution can not be administered quickly or for a long time.

    If a chill occurs during the injection of the solution, the administration should be stopped immediately.

    To prevent thrombophlebitis, the solution should be administered slowly, through large veins.

    When combined with other drugs, it is necessary to visually check compatibility.

    Form release / dosage:

    Solution for intravenous administration, 40%.

    Packaging:

    By 5 ml or 10 ml in ampoules, 5 ampoules per contour cell pack of a polyvinyl chloride film.

    For 1 or 2 contour mesh packages with a scarifier ampoule ceramic or knife for opening ampoules and instructions for use in a pack of cardboard.

    When using ampoules with a fracture ring or break point, the knife or scarifier is not inserted.

    Storage conditions:

    Store at a temperature of 5 to 30 ° C.

    Keep out of the reach of children.

    Shelf life:

    5 years.

    Do not use after the expiry date printed on the package.

    Terms of leave from pharmacies:On prescription
    Registration number:LSR-005075/09
    Date of registration:26.06.2009 / 22.04.2015
    Expiration Date:Unlimited
    The owner of the registration certificate:BINNOFARM, CJSC BINNOFARM, CJSC Russia
    Manufacturer: & nbsp
    Representation: & nbspBINNOFARM CJSC BINNOFARM CJSC Russia
    Information update date: & nbsp21.04.2017
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