SODIUM CHLORIDE ELSAAD
-
Chemical Name:
Sodium Chloride -
Therapeutic Category:
Fluids and Electrolytes -
Pharmacologic Category:
Electrolyte Supplement, Parenteral -
Pharmaceutical Form:
Ampoule -
Composition:
Sodium Chloride 10% / 20%
Sodium Chloride 10% - 20% (IV) ELSaad
Hypertonic solution to be diluted
1-PHARMACOLOGY PROPERATIES :
- Hypertonic sodium supplement.
The properties are similar to sodium and chloride ions.-
2-INDICATION:
- Electrolyte rebalance when small supplementation of water is desired, in slow intravenous infusion.
- Sodium supplementation with reduced volume in solutions for parenteral nutrition.
3-CONTRAINDICATIONS:
All the states of sodium retention and particularly:
- Cardiac insufficiency
- oedemato-ascitic syndrome in cirrhotics.
4-WARNINGS & PRECAUTIONS:
- This drug should be administered with caution in patients with cardiac insufficiency, peripheral or pulmonary oedemas, severe renal impairment.
- In neonates and elderly patients, administration of the product requires to be closely monitored.
- This therapy must be performed under strict medical monitoring, with posology adjustment depending on the results of electrolyte assessments.
- The solution being hypertonic, sodium rebalance should be performed slowly.
5-ADVERSE REACTION:
- Risk of pulmonary and peripheral oedema if perfusion rate is too fast and/or infusion too profuse.
- If not properly diluted, pain may occur at injection site and venous irritation.
6-OVERDOSAGE:
- Nausea, vomiting, diarrhea, intense thirst, sweating, fever, hypotension and tachycardia, renal
failure, peripheral and pulmonary oedema, agitation, irritability, convulsions then coma.
- Overuse of chloride may cause bicarbonate deficiency and result in acidosis.
Treatment is symptomatic: electrolyte rebalance and administration of diazepam in case of convulsions.
7-DOSAGE AND ADMINISTRATION:
Dosage depends on patient’s weight, clinical state and laboratory results.
By intravenous route, to be diluted prior to use.
8-PRECAUTIONS FOR USE:
- Verify physical integrity of container.
- Inspect for clearance of the solution.
9-INCOMPATIBILITIES:
- Inspect for possible discoloration and/or formation of precipitate, insoluble complex or crystals.
- Prior to any drug admixture, check whether its pH space efficacy matches that of sodium chloride 10% or 20% solution.
- When a drug is added to this solution, admixture should be dispensed instantly.
10-PACKING AND COMPOSITION:
- Plastic pack 5/10 ml , Sterile solution of 10% sodium chloride.
Each 100 ml contains 10 g sodium chloride, which equivalent to 171.1 mmol of sodium Ions, and 171.1 mmol of chloride Ions
The osmolarity is 3.42 Osmol/L. pH ranging from 4.5 to 7.0
- Plastic pack 5/10 ml , Sterile solution of 20% sodium chloride.
Each 100 ml contains 20 g sodium chloride, which equivalent to 342.2 mmol of sodium Ions, and 342.2mmol of chloride Ions
The osmolarity is 6.84 Osmol/L. pH ranging from 4.5 to 7.0
11-STORAGE:
Store below 25°C and protect from light.
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