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Audited Supplier Lactated Ringer Infusion 0.9% 500ml Intravenous Infusion
Posology
Adults, the Elderly, Adolescents and Children:
The dosage depends on the age, weight, clinical and biological conditions of the patient and concomitant therapy.
Recommended dosage:
The recommended dosage is:
- for adults, the elderly and adolescents : 500 ml to 3 litres /24h
- for babies and children : 20 ml to 100 ml / kg / 24 h.
Administration rate:
The infusion rate is usually 40 ml/kg/24h in adults, the elderly and adolescents.
In paediatric patients the infusion rate is 5 ml/kg/h on average but the value varies with age: 6-8 ml/kg/h for infants, 4-6 ml/kg/h for toddlers, and 2-4 ml/kg/h for schoolchildren. In children with burns, the dose is on average 3.4 ml/kg/per cent burn at 24 h post-burn and 6.3 ml/kg/per cent burn at 48 h.
In severely head-injured children the dose is on average 2850 ml/m2.
Infusion rate and total volume can be higher in surgery or in case of need.
Note:
infants and toddlers: aged from 28 days to 23 months (a toddler is an infant who can walk)
- children and schoolchildren: aged from 2 years to 11 years.
Method of administration:
The administration is performed by intravenous route.
The solution for infusion should be visually inspected prior to use.
Use only if the solution is clear, without visible particles and if the container is undamaged. Administer immediately following the insertion of infusion set. Do not remove unit from overwrap until ready for use. The inner bag maintains the sterility of the product.
Do not use plastic containers in series connections. Such use could result in air embolism due to residual air being drawn from the primary container before the administration of the fluid from the secondary container is completed.
Pressurizing intravenous solutions contained in flexible plastic containers to increase flow rates can result in air embolism if the residual air in the container is not fully evacuated prior to administration.
Use of a vented intravenous administration set with the vent in the open position could result in air embolism. Vented intravenous administration sets with the vent in the open position should not be used with flexible plastic containers.
The solution should be administered with sterile equipment using an aseptic technique. The equipment should be primed with the solution in order to prevent air entering the system.
Additives may be introduced before infusion or during infusion through the injection site.
Monitoring
Fluid balance and plasma electrolytes concentrations (sodium, potassium, calcium and chlorides) must be monitored during administration.
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