Included in the formulation
Ringer
solution
in / in d / infusion
Ringer
solution
in / in d / infusion
Ringer
solution
in / in d / infusion
Included in the list (Order of the Government of the Russian Federation No. 2782-r of 30.12.2014):VED
АТХ:B.05.B.B Solutions affecting the water-electrolyte balance
B.05.B.B.01 Electrolytes
Pharmacodynamics:It has detoxification and rehydration action, stabilizes the electrolyte composition of blood plasma.
Pharmacokinetics:After intravenous administration for 30-40 minutes leaves the bloodstream, accumulating in the extravasal space.
Indications:Used for rehydration and as a plasma substitute for frostbites, shock, burns, diarrhea and prolonged vomiting. Used for peritonitis, intestinal obstruction, dehydration state, metabolic alkalosis.
IV.E70-E90.E86 Reduction of the volume of the liquid
IV.E70-E90.E87.3 Alkalosis
XI.K65-K67.K65.0 Acute peritonitis
XVIII.R50-R69.R57.0 Cardiogenic shock
XVIII.R50-R69.R57.1 Hypovolemic shock
XVIII.R50-R69.R57.8 Other types of shock
XVIII.R50-R69.R58 Bleeding, not elsewhere classified
XIX.T20-T32.T30 Thermal and chemical burns, unspecified
XIX.T33-T35.T33 Surface frostbite
XIX.T79.T79.4 Traumatic shock
Contraindications:Hypernatremia, hyperchloremia, pulmonary and brain edema, acidosis, chronic renal failure, individual intolerance.
Carefully:Pregnancy and lactation.
Pregnancy and lactation:Recommendations for FDA - Category C. It is used with caution in pregnancy and lactation in cases where the expected effect exceeds the risk to the fetus and newborn.
Dosing and Administration:Use in children
Intravenously drip. The daily dose is 5-10 ml / kg of weight at a rate of 30-60 drops per minute.
Adults
Intravenously drip, at a rate of 60-80 drops per minute.
The highest daily dose: 50 ml / kg.
Side effects:Allergic reactions.
Overdose:Cases of overdose are not described.
Treatment is symptomatic.
Interaction:Enhances the toxic effects of cardiac glycosides.
With simultaneous application with potassium-sparing diuretics, the development of hyperkalemia is possible.
When used simultaneously with non-steroidal anti-inflammatory drugs, androgens, estrogens, anabolic steroids, vasodilators, ganglion blockers and mineralocorticoids, the risk of hypernatremia increases.
Special instructions:In connection with the rapid exit from the vascular bed, the drug is used only for the purpose short-term replenishment of the circulating blood volume.