سعر رينجر لاكتات (صوديوم لاكتات مركب) 500 مل محلول وريدي بغطاء مطاطي 2022

Compound sodium lactate (lactated Ringer's) solution for intravenous infusion by Otsuka, 500 ml, listed in Egyptian price directories.

• Restoration of extracellular fluid and electrolyte balance or replacement of extracellular fluid loss where isotonic electrolyte concentrations are sufficientPopulation: Adults, elderly and childrenUK electronic Medicines Compendium (emc)
• Short-term volume replacement (alone or with a colloid) in hypovolaemia or hypotensionPopulation: Adults, elderly and childrenUK electronic Medicines Compendium (emc)
• Treatment of mild to moderate metabolic acidosis (except lactic acidosis)Population: Adults, elderly and childrenUK electronic Medicines Compendium (emc)

• Hypersensitivity/infusion reactions including anaphylactic or anaphylactoid reactions, angioedema, urticaria, bronchospasm.International label, equivalent formulation · UK electronic Medicines Compendium (emc)
• Hyperkalaemia, hospital-acquired hyponatraemia and acute hyponatraemic encephalopathy (post-marketing).International label, equivalent formulation · UK electronic Medicines Compendium (emc)
• Infusion-site reactions such as phlebitis, inflammation, swelling, pain or burning.International label, equivalent formulation · UK electronic Medicines Compendium (emc)

• Concomitant ceftriaxone in newborns (28 days of age or younger), even via separate lines, because of fatal ceftriaxone-calcium precipitation.International label, equivalent formulation · UK electronic Medicines Compendium (emc)
• Extracellular hyperhydration or hypervolaemia; severe renal insufficiency with oliguria/anuria; uncompensated cardiac failure.International label, equivalent formulation · UK electronic Medicines Compendium (emc)
• Hyperkalaemia, hypercalcaemia, metabolic alkalosis, severe metabolic acidosis, ascitic cirrhosis.International label, equivalent formulation · UK electronic Medicines Compendium (emc)

• Risk of hospital-acquired hyponatraemia and acute hyponatraemic encephalopathy, particularly with non-osmotic vasopressin release (e.g. SIADH, post-operative stress) or vasopressin-agonist drugs; monitor serum sodium.International label, equivalent formulation · UK electronic Medicines Compendium (emc)
• Fluid and/or solute overload with pulmonary congestion and oedema may occur depending on volume and rate; use with caution in renal impairment, cardiac or pulmonary failure and conditions causing sodium retention.International label, equivalent formulation · UK electronic Medicines Compendium (emc)
• Lactate is metabolised to bicarbonate and may cause or worsen metabolic alkalosis; monitor glucose in type 2 diabetes because lactate is a gluconeogenic substrate.International label, equivalent formulation · UK electronic Medicines Compendium (emc)

• CeftriaxoneContraindicated in neonates; in older patients must not be given simultaneously via the same line because of calcium-ceftriaxone precipitation.UK electronic Medicines Compendium (emc)
• Digitalis glycosidesCalcium may increase digitalis effects and lead to serious arrhythmia.UK electronic Medicines Compendium (emc)
• Potassium-sparing diuretics, ACE inhibitors, angiotensin II antagonists, tacrolimus, ciclosporinIncreased risk of hyperkalaemia due to potassium content.UK electronic Medicines Compendium (emc)

• Can be used during pregnancy and lactation provided electrolyte and fluid balance are controlled; use special caution during labour with oxytocin because of serum-sodium risk.International label, equivalent formulation · UK electronic Medicines Compendium (emc)
• Can be used during lactation when fluid and electrolyte balance is controlled; calcium is distributed into breast milk.International label, equivalent formulation · UK electronic Medicines Compendium (emc)