Глюкоза Раствор, ампулы, 10 шт, 10 мл, 40 %

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Декстроза поступая в ткани фосфорилируется превращаясь в глюкозо-6-фосфат который активно включается во многие звенья обмена веществ организма. Гипертонический раствор декстрозы повышает осмотическое давление крови увеличивают диурез. Усваивается полностью организмом почками не выводится (появление в моче является патологическим признаком)."}}]},{"id":8,"name":"Показания к применению","slug":"indications","body":[{"type":"list","data":{"style":"ordered","items":["Гипогликемия."]}},{"type":"paragraph","data":{"text":"При разведении до 5-10% раствора: недостаточность углеводного питания токсикоинфекция интоксикация"}},{"type":"list","data":{"style":"ordered","items":["при заболеваниях печени (гепатит дистрофия и атрофия печени в том числе печеночная недостаточность) геморрагический диатез;","дегидратация (рвота диарея послеоперационный период);","интоксикация;","коллапс шок;","в составе полного парентерального питания."]}}]},{"id":9,"name":"Противопоказания","slug":"contraindications","body":[{"type":"list","data":{"style":"ordered","items":["Гипергликемия гиперчувствительность к компонентам препарата гиперлактатемия гипергидратация послеоперационные нарушения утилизации глюкозы;","циркуляторные нарушения угрожающие отеком мозга и легких;","отек мозга отек легких острая левожелудочковая недостаточность гиперосмолярная кома детский возраст (для растворов свыше 20-25%) беременность лактация."]}},{"type":"paragraph","data":{"text":"С осторожностью:"}},{"type":"paragraph","data":{"text":"Декомпенсированная хроническая сердечная недостаточность хроническая почечная недостаточность (олиго- анурия) гипонатриемия сахарный диабет."}}]},{"id":10,"name":"С осторожностью","slug":"cautions","body":[{"type":"paragraph","data":{"text":"Декомпенсированная хроническая сердечная недостаточность хроническая почечная недостаточность (олиго- анурия) гипонатриемия сахарный диабет."}}]},{"id":11,"name":"Применение при беременности и в период грудного вскармливания","slug":"pregnancy_warnings","body":[{"type":"paragraph","data":{"text":"Назначение препарата в период беременности и лактации возможно только по назначению врача если предполагаемая польза для матери превышает потенциальный риск для плода или младенца."}}]},{"id":12,"name":"Способ применения и дозы","slug":"dosage","body":[{"type":"paragraph","data":{"text":"Способ разведения 40% раствора глюкозы до получения раствора необходимой концентрации:"}},{"type":"paragraph","data":{"text":"Для приготовления 5% раствора глюкозы необходимо взять 1 часть 40% раствора глюкозы и 7 частей воды т.е. смещать 5 мл 40% раствора глюкозы с 35 мл воды для инъекций (для ампулы объемом 5 мл) либо смешать 10 мл 40% раствора глюкозы с 70 мл воды для инъекций (для ампулы объемом 10 мл)."}},{"type":"paragraph","data":{"text":"Для приготовления 10% раствора глюкозы необходимо взять 1 часть 40% раствора глюкозы й 3 части воды т.е.: смешать 5 мл 40% раствора глюкозы с 15 мл воды для инъекций (для ампулы объемом 5 мл) либо смешать 10 мл 40% раствора глюкозы с 30 мл воды для инъекций (для ампулы объемом 10 мл)."}},{"type":"paragraph","data":{"text":"Для приготовления 20% раствора глюкозы необходимо взять 1 часть 40% раствора глюкозы и 1 часть воды т.е.: смешать 5 мл 40% раствора глюкозы с 5 мл воды для инъекций (для ампулы объемом 5 мл) либо смешать 10 мл 40% раствора глюкозы с 10 мл воды для инъекций (для ампулы объемом 10 мл)."}},{"type":"paragraph","data":{"text":"Для приготовления 25% раствора глюкозы необходимо взять 1 часть 40% раствора глюкозы и 06 части воды т.е.: смешать 5 мл 40% раствора глюкозы с 3 мл воды для инъекций (для ампулы объемом 5 мл) либо смешать 10 мл 40% раствора глюкозы с 6 мл воды для инъекций (для ампулы объемом 10 мл)."}},{"type":"paragraph","data":{"text":"Внутривенно капельно."}},{"type":"paragraph","data":{"text":"5% раствор вводят с максимальной скоростью до 7 мл (150 кап)/мин (400 мл/ч); 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У детей применяют растворы с концентрацией не выше 20-25%; скорость введения декстрозы не должна превышать 075 г/кг/ч."}},{"type":"paragraph","data":{"text":"При расчете дозы декстрозы при введении 5 и 10% растворов нужно принимать во внимание допустимый объем вводимой жидкости: для детей с массой тела 2-10 кг - 100-165 мл/кг/сут детям с массой тела 10-40 кг - 45-100 мл/кг/сут."}},{"type":"paragraph","data":{"text":"Для более полного усвоения глюкозы вводимой в больших дозах одновременно с ней назначают инсулин короткого действия из расчета 1 единица инсулина короткого действия на 4-5 г глюкозы."}},{"type":"paragraph","data":{"text":"Больным сахарным диабетом глюкозу вводят под контролем ее содержания в крови и моче."}}]},{"id":13,"name":"Побочное действие","slug":"side_effects","body":[{"type":"paragraph","data":{"text":"Гипергликемия лихорадка гиперволемия острая левожелудочковая недостаточность. В месте введения - развитие инфекции тромбофлебит."}}]},{"id":14,"name":"Передозировка","slug":"overdose","body":[{"type":"paragraph","data":{"text":"Симптомы: гипергликемия глюкозурия гипергликемическая гиперосмолярная кома гипергидратация нарушение водно-электролитного баланса усиление липонеогенеза с повышенной продукцией СО2 что приводит к резкому возрастанию минутного дыхательного объема и как следствие частоты дыхания; жировая инфильтрация печени. Лечение: прекратить введение глюкозы ввести инсулин короткого действия симптоматическая терапия."}}]},{"id":15,"name":"Взаимодействие с другими лекарственными средствами","slug":"drugs_interaction","body":[{"type":"paragraph","data":{"text":"При комбинации с другими лекарственными средствами необходимо визуально контролировать фармацевтическую совместимость."}}]},{"id":16,"name":"Особые указания","slug":"","body":[{"type":"paragraph","data":{"text":"Для более полного и быстрого усвоения декстрозы можно ввести подкожно 4-5 ЕД инсулина короткого действия из расчета 1 ЕД инсулина короткого действия на 4-5 г декстрозы. При введении растворов декстрозы необходим контроль электролитного баланса содержания декстрозы в крови и моче."}}]},{"id":18,"name":"Форма выпуска","slug":"","body":[{"type":"paragraph","data":{"text":"Раствор для инъекций."}}]},{"id":19,"name":"Условия хранения","slug":"storage","body":[{"type":"paragraph","data":{"text":"В защищенном от света месте, при температуре 0–30 °C. 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