the product in the database has an inactive status
indications:
Intravenous feeding to cover basic or moderately increased demand for trace elements during parenteral nutrition.
Composition:
1000 ml of solution contains 216 mg of iron gluconate dihydrate, 85 mg of copper gluconate, 40.5 mg of manganese gluconate, 1949 mg of zinc gluconate, 80 mg of sodium fluoride, 0.303 mg of cobalt dehydrate, 0.045 mg of sodium iodide, 3.83 mg of sodium selenite , 1.15 mg of ammonium tartrate heptamolibdate, 1.92 mg of chromium chloride hexahydrate. Osmolality: 19 mOsmol / kg H2O. Osmolarity: 17.6 mOsmol / l.
Action:
A balanced solution of the ten most important trace elements necessary to maintain metabolic balance.
Contraindications:
Hypersensitivity to the components of the preparation. Cholesterol found (serum bilirubin> 140 μmol / l). Wilson's disease and hemochromatosis. The drug should not be used in children and patients of the body. below 40 kg and if the serum concentration of any of the trace elements contained in the preparation is increased.
Precautions:
The drug can be used as a concentrate in addition to mixtures for parenteral nutrition (attention should be paid to the compatibility of the components of the combined preparations). Special care should be taken when administering the drug to patients with disturbed bile secretion (risk of disturbances in elimination of manganese, copper and zinc in the bile, which may lead to accumulation and overdose of these elements in the body). Caution should be exercised in patients with impaired renal function (excretion of trace elements may be reduced). In patients undergoing multiple blood transfusions, with simultaneous intravenous administration of the drug, the risk of iron overload increases.
Pregnancy and lactation:
The drug should not be given during pregnancy and during breastfeeding unless it is absolutely necessary. There are no data on the safety of the medicine during pregnancy and during breastfeeding.
Side effects:
In patients fed for a long time parenterally, a higher incidence of iron, zinc and Selenium deficiency is observed. In addition, Iodine deficiency may occur due to its low content in the preparation.
Dosage:
Adults. The recommended daily dose for patients with moderate and moderately increased demand for trace elements is 1 shoe. (40 ml) concentrate. In the case of a significantly increased demand for trace elements (ie extensive burns, increased post-traumatic catabolism), you can give 2 shoes. (80 ml) concentrate daily, monitoring the level of trace elements in the serum. The drug should not be administered undiluted. When diluting the drug, the final osmolarity of the solution should be taken into account, eg 40 ml concentrate can be diluted by adding at least 250 ml of 0.9% sodium chloride solution for intravenous infusion or 40 ml concentrate can be diluted by adding at least 500 ml of 5-70% intravenous Glucose solution. If the drug is diluted with a solution of glucose at a concentration above 20%, the resulting solution can not be administered without further dilution in such a way that the final glucose concentration does not exceed 20%, due to the final osmolarity of the solution. In patients with impaired renal and hepatic function and in cases of mild cholestasis, the dosage should be adjusted to the patient's condition.
(C)
