Description
Release form
Solution for infusion
Packing
5 containers of 1000 ml.
Pharmacological action
Nutriflex 48/150 – a means for parenteral nutrition.
Nutriflex contains in one bag chamber the amino acids that are the substrate for protein synthesis and the minerals needed to maintain water-electrolyte and acid-base balance, and in the second chamber – a glucose solution with electrolyte solutions.
Contraindications
impaired amino acid metabolism
hyperkalemia
hyponatremia
impaired metabolism (for example, with diabetes mellitus)
coma of unclear etiology
hyperglycemic / non-correctable insulin in children with 6 up to 2 years
individual intolerance to one of the components of the mixture.
General for parenteral nutrition:
severe circulatory disorders (collapse and shock)
severe tissue hypoxia
hyperhydration
disturbances of water-electrolyte balance
pulmonary edema
decompensated heart failure.
Composition of
Isoleucine,
leucine,
lysine hydrochloride,
methionine,
phenylalanine,
threonine,
tryptophan,
valine, srdlkogni argi
histidine hydrochloride monohydrate,
alanine,
aspartic acid,
glutamic acid,
glycine,
proline,
serine,
magnesium acetate sulphide sodium phosphate dihydrate sulfide sodium sulfide dihydride dihydride hydroxide,
glucose monohydrate,
sodium chloride,
calcium chloride dihydrate,
electrolytes: sodium, potassium, calcium, magnesium, chloride, phosphate, nitrogen acetate.
Dosage and Administration
Nutriflex 48/150 is for administration only to the central veins.
Nutriflex 48/150 preparation procedure for use:
Nutriflex 48/150 is a two-chamber bag, the compartments of which are separated by a special seam. One chamber is filled with a solution of amino acids and electrolytes, and the other with a solution of dextrose and electrolytes. Immediately before starting parenteral administration, solutions of amino acids, glucose and electrolytes should be mixed. To do this, it is necessary: ² ¹ ² ¹
to remove the two-chamber bag from the protective packaging,
to open and lay it on a flat surface (on the table),
to break the separation seam by pressing with two hands on one of the chambers of the bag, pick up
and mix the contents of both chambers, moving the right and left side of the bag up and down.
After (the solution is ready to use. At the end of the infusion, the bag is discarded.
If necessary, lipid emulsions can be added to Nutriflex 48/150 by introducing them into the finished solution through a special port located on top of the bag. If you need to add other ingredients to the finished solution, you must use the additional port located below. All ingredients must be added in compliance with aseptic rules and taking into account their compatibility with each other.
Doses:
are selected according to individual needs. The maximum daily dose is 40 ml / kg bw / day, which corresponds to 1.92 g of amino acids / kg bw / day and 6 g of glucose / kg bw / day.
Speed ² ¹ ² ¹of administration:
The maximum infusion rate is 2 ml / kg bw / h, which corresponds to 0.096 g of amino acids / kg bw / h and 0.3 g glucose / kg bw / h.
Duration of use:
There are no restrictions on the duration of use of the drug.
Precautions for use of the drug:
In patients with increased osmolarity of blood plasma, heart failure, liver and / or renal failure. For patients with heart, liver and kidney failure, the dosage and regimen of the drug are set individually.
Side effects
Side effects are very rare.
When therapy is discontinued, they are rapidly reversible.
The introduction of the drug can lead to allergic reactions, chills, nausea, and vomiting.
Due to the high osmolarity of the solution, in some cases, signs of increased diuresis may appear.
In such cases, the drug should be discontinued and resumed later at a lower rate of infusion.
In case of side effects that are not described in the instructions, patients should report them to their doctor.
Storage conditions
In the dark place at a temperature of no higher than 25 ° C.
Shelf life
2 years
Effective Aminodigidroftalazindion substance
amino acids for parenteral nutrition
Terms and conditions
prescription
lekarstvennaja form
Solution for infusion