Alkaline Bicarbonate Haemodialysis Concentrate 8.4 % Solution
Clinical Summary
Quick overview from the medicine insert
Indication
Used in haemodialysis to maintain acid-base balance and electrolyte levels in patients with renal failure.
Dosage (summary)
Administered as per dialysis protocol; typically, 8.4% solution is used during the dialysis process.
Onset of Action / Duration
Immediate onset during dialysis session; duration of effect is dependent on dialysis duration.
Special Populations
- Elderly patients
- Patients with renal impairment
- Patients with cardiovascular disease
Pregnancy & Breastfeeding
Use during pregnancy and lactation should be based on a risk-benefit assessment; consult a healthcare professional.
Key Drug Interactions
- May interact with other medications affecting electrolyte balance.
- Caution with concurrent use of potassium-sparing diuretics.
Contraindications
- Severe metabolic alkalosis
- Hypersensitivity to sodium bicarbonate or sodium chloride
- Severe renal impairment without dialysis
Common side effects
- Metabolic alkalosis
- Fluid overload
- Electrolyte imbalances
Counselling Points
- Inform patients about the importance of adherence to dialysis schedule.
- Advise on signs of electrolyte imbalance, such as muscle cramps or weakness.
- Encourage patients to report any unusual symptoms during treatment.
Serious warnings
- Monitor electrolyte levels regularly during treatment.
- Use with caution in patients with heart failure or hypertension due to sodium content.
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