Proliv DS500ml
Rx- Company:
- Orion Infusion Ltd.
- Dosage form:
- Iv Infusion
- Pack size:
- 500ml bot
৳ 352.38/unit
Pack: ৳ 352.38
At a glance
Essential Amino Acid + D-Sorbitol + Electrolytes IV Infusion is a parenteral nutritional solution that provides amino acids for protein synthesis. It aids faster recovery in surgery, burns, renal insufficiency, hepatic insufficiency, and cancer management.
Indications
- Source of amino acids for protein synthesis (parenteral nutrition)
- Faster recovery in surgery
- Burn patients
- Renal insufficiency
- Hepatic insufficiency
- Effective management of cancer
- Patients with basal amino acid requirements
Dosage
Adults:
• No or minor metabolic stress (normal nutritional state): 0.10-0.15 g nitrogen/kg/day (15-23 mL/kg/day)
• Moderate metabolic stress (with or without malnutrition): 0.15-0.20 g nitrogen/kg/day (23-30 mL/kg/day)
• Severe catabolism (burns, sepsis, trauma): 0.20-0.25 g nitrogen/kg/day (30-35 mL/kg/day)
• Depending on patient requirements, 1000-2000 mL may be infused intravenously per 24 hours.
• Infusion rate: 1.4-2.8 mL/min (30-60 drops/min)
Obese patients: Dose should be based on estimated ideal weight.
Children and infants: 28-35 mL/kg body weight per day recommended, with step-wise increase during the first week.
Side effects
- Rare: Nausea
- Vomiting, flushing, and sweating (with infusion rates exceeding recommended maximum)
- Transient liver test increases during parenteral nutrition
- Hypersensitivity reactions
- Thrombophlebitis when peripheral veins are used (incidence reduced by simultaneous infusion of 10% fat emulsion)
- Hyperphenylalaninemia may occur in severely ill, premature infants
Precautions & warnings
- Long-term IV nutrition increases urinary excretion of trace elements (especially zinc and copper); consider this in trace element dosing.
- Monitor phenylalanine levels in severely ill, premature infants and adjust infusion rate as needed.
- Use with caution in patients with diabetes mellitus, severe heart failure, or renal function with fluid restrictions, oliguria/anuria.
- Exogenous insulin may be necessary in hyperglycemic patients.
- In severely malnourished patients, refeeding carbohydrates may trigger thiamine (vitamin B1) deficiency syndrome (high risk in patients with alcohol abuse, anorexia nervosa, prolonged fasting, hyperemesis gravidarum).
- Monitor serum potassium and blood glucose if infused rapidly or in large quantity.
- Additional phosphate supplementation recommended for patients with hypophosphatemia.