Dextran IV Infusion
Dextran 40 10% + Sodium Chloride 0.9%
Institute of Public Health
| Pack size | 500ml bag |
|---|---|
| Unite Price | BDT |
Indications
Dextran IV Infusion is used for:
Thromboembolic disorders, Hypovolaemic shock, Pulmonary embolism, Venous thrombosis
Adult Dose
Intravenous
Thromboembolic disorders
Adult: As dextran 40: Initially, 500 ml of a 10% solution in sodium chloride 0.9% infused over 4-6 hr, followed by 500 ml infused over 4-6 hr on the next and subsequent alternate days for not more than 10 days.
Prophylaxis of postoperative thromboembolic disorders
Adult: As dextran 40: 500 ml of a 10% solution in sodium chloride 0.9% infused over 4-6 hr during or at the end of the surgery. Dose may be repeated the following day and treatment may be continued on alternate days for up to 10 days in high-risk patient.
Hypovolaemic shock
Adult: As dextran 40: Initially, 10 ml/kg given by rapid infusion as a 10% solution in sodium chloride 0.9% Doses may be given daily for up to 5 days.
Child Dose
Intravenous
Thromboembolic disorders
Child: As dextran 40: Up to 5 ml/kg in infants and 10 ml/kg in children.
Prophylaxis of postoperative thromboembolic disorders
Child: As dextran 40: Up to 10 ml/kg in children.
Renal Dose
Extreme caution
Administration
Contra Indications
Hypersensitivity. Severe renal disease with oliguria or anuria. Marked cardiac decompensation. Pregnancy.
Precautions
Lactation: not known if distributed into breast milk, avoid
Pregnancy-Lactation
Interactions
Dextran: Enzyme inducers e.g. phenytoin or carbamazepine and enzyme inhibitors e.g. cimetidine.
Sodium Chloride: May affect serum concentrations of lithium.
Side Effects
Side effects of Dextran 40 10% + Sodium Chloride 0.9% :
Congestive heart failure, Mild hypotension, Tightness of chest, Thrombocytopenia, Anaphylaxis, Injection site infection/phlebitis, Acute renal failure, Acidosis (if NaCl soln used), Pulmonary edema, Wheezing
Mode of Action
Dextrans produce expansion of plasma volume. It also reduces blood viscosity and inhibits sludging or aggregation of red blood cells.
Note
Dextran IV Infusion generic name is Dextran 40 10% + Sodium Chloride 0.9%. Dextran IV Infusion is manufactured by Institute of Public HealthDextran IV is availble in all over Bangladesh.
Mes BD drug index information on Dextran IV Infusion is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.