NRG Orange Powder for Oral Suspension
Dextrose 100 %
10gm
Eskayef Pharmaceuticals Ltd.
| Pack size | 30's pack |
|---|---|
| Dispensing mode | |
| Source | |
| Agent | |
| Retail Price | 7.00 AED |
Available as:
Indications
NRG Orange Powder for Oral Suspension is used for:
Hypoglycemia, Nutrition, Hydration
Adult Dose
Oral
As directed by a physician. Dosage should be adjusted to meet the requirements of each individual patient.
Dosage is dependent upon the age, weight and clinical condition of the patient as well as laboratory determinations.
Child Dose
Oral
As directed by a physician. Dosage should be adjusted to meet the requirements of each individual patient.
Dosage is dependent upon the age, weight and clinical condition of the patient as well as laboratory determinations.
Renal Dose
Administration
IV Administration
Hypertonic dextrose solutions are preferably administered via an IV catheter placed into a large central vein
If hypertonic (10%) dextrose solutions are administered peripherally, use a large arm vein, if possible, alternate injection site daily
Except in the emergency treatment of severe hypoglycemia, higher concentrations of dextrose injections (e.g., 20% and higher) should be administered via central veins and only after appropriate dilution
When used for the emergency treatment of hypoglycemia, hypertonic dextrose injections may be administered slowly via a peripheral vein
Include final filter to administration protocol and visually inspect container
Contra Indications
Solutions containing dextrose may be contraindicated in patients with known allergy to corn or corn products.
A concentrated dextrose solution should not be used when intracranial or intraspinal hemorrhage is present nor in the presence of delirium tremens if the patient is already dehydrated.
Precautions
Electrolyte deficits, particularly in serum potassium and phosphate, may occur during prolonged use of concentrated dextrose solutions.
Blood electrolyte monitoring is essential, and fluid and electrolyte imbalances should be corrected.
Essential vitamins and minerals also should be provided as needed.
Solutions containing dextrose should be used with caution in patients with known subclinical or overt diabetes mellitus.
Patients with carbohydrate intolerance.
IV admin of dextrose may result in hypokalaemia, hypophosphataemia and hypomagnesemia.
Prolonged infusion of isotonic dextrose solutions may cause water intoxication.
Production of insulin may be adversely affected by prolonged parenteral nutrition with dextrose solutions.
Rapid admin of hypertonic dextrose solutions may result in hyperglycaemia and hyperosmolar syndrome.
Hypertonic solutions (>10%) may cause thrombosis when infused through peripheral veins; best to infuse through a central venous catheter.
Increased serum osmolality and possible intracerebral hemorrhage may occur from rapid or excessive dextrose administration.
Parenteral nutrition associated with liver disease; increased risk in patients who receive parenteral nutrition for extended periods of time, especially preterm infants.
Caution when used in very low birth weight infants.
Abrupt withdrawal may lead to rebound hypoglycaemia.
Risk of thrombosis when hypertonic (>10%) solutions are administered through peripheral veins.
Caution when used parenterally in pregnant women.
Monitoring Parameters
Monitor for signs of mental confusion or loss of consciousness.
Monitor blood and urinary glucose regularly.
Monitor changes in fluid balance, electrolyte concentrations, and acid-base balance during prolonged use.
Monitor glucose levels and for possible hyperglycemia when treating pediatric patients.
Monitor blood glucose and administer insulin as needed.
Pregnancy-Lactation
Pregnancy Category: A (oral)
Maternal and fetal hyperglycemia may occur during labor and delivery; monitor
Lactation: Excretion in milk unknown; use with caution
Interactions
Adverse Effects
Side effects of Dextrose 100 % :
Hypersensitivity reactions, including anaphylaxis and chills.
Reactions which may occur because of the injection or the technique of administration include febrile response, infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection, extravasation and hypervolemia.
If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate therapeutic countermeasures and save the remainder of the fluid for examination if deemed necessary.
Mechanism of Action
Dextrose is a monosaccharide that is used as a source of calories and water for hydration. It helps to reduce loss of body protein and nitrogen. It also promotes glycogen deposition in the liver. When used with insulin, it stimulates the uptake of potassium by cells, especially in muscle tissue, thus lowering serum potassium levels.
Note
NRG Orange 10gm Powder for Oral Suspension manufactured by Eskayef Pharmaceuticals Ltd.. Its generic name is Dextrose 100 %. NRG Orange is availble in Bangladesh.
Farmaco BD drug index information on NRG Orange Powder for Oral Suspension is not intended for diagnosis, medical advice or treatment; neither intended to be a substitute for the exercise of professional judgment.