Solution for infusions Gelaspan of 4% is shown at:

• prevention and treatment of manifestations or threats of a relative or absolute hypovolemia and shock.
• prevention and treatment of arterial hypotension (for example, in connection with carrying out epidural or spinal anesthesia).
• procedures, including extracorporal blood circulation (for example start of the device "heart and lungs").
• sharp normovolemichesky hemodilution.

Structure

Active ingredients: 1 ml of solution contains:

• gelatin suktsinilyovany (the modified liquid gelatin; molecular weight, average: 26500 Dalton) - 40 mg;
• sodium of chloride - 5.55 mg;
• sodium trihydrate acetate - 3.27 mg;
• potassium of chloride - 0.3 mg;
• Calcii chloridum a dihydrate - 0.15 mg;
• magnesium of chloride of hexahydrate - 0.2 mg.

Concentration of electrolytes:

• sodium - 151 mmol/l;
• chloride - 103 mmol/l;
• potassium - 4 mmol/l;
• calcium - 1 mmol/l;
• magnesium - 1 mmol/l;
• acetate - 24 mmol/l.

Excipients: sodium hydroxide, the hydrochloric acid divorced, water for injections.

Contraindication

• Hypersensitivity to gelatin solutions.
• Hypervolemia.
• Overhydratation.
• Hyperpotassemia.
• Heavy heart failure.
• Recently postponed myocardial infarction.
• Heavy violations of fibrillation.
• Heavy renal failure.

Route of administration

Solution is entered intravenously.

according to the volume of the lost blood and the individual needs for restoration and maintenance of a stable hemodynamic situation. Initially enter a dose on average from 500 to 1000 ml, in case of heavy blood loss it is necessary to apply high doses.

At fast introduction Gelaspan whenever possible should be warmed up up to the temperature not above 37 °C.

in case of infusion under pressure all air from a container and a system for introduction.

Feature of application

Pregnant

Should be applied during pregnancy only when the expected advantage for mother exceeds risk for a fruit.

Children

As documented experience is insufficient, the dose should be selected individually according to the basic of a clinical condition of the patient. Therapy should be controlled with extra care and to use medicament to children only when the expected advantage obviously exceeds potential risk.

by

for application in the conditions of intensive care unit.

Overdose

Overdose by Gelaspan can give a hypervolemia and circulator overloads, is connected with the subsequent dysfunction of heart and lungs. Symptoms of a circulator overload - a headache, short wind and kongestiya of a jugular vein.

in case of a circulator overload needs to stop infusion and to give high-speed diuretics.

Side effects

• from heart: very seldom - tachycardia.
• from vessels: very seldom - arterial hypotension.
• from a respiratory system: very seldom - the complicated breath.
• from skin: seldom - allergic skin reactions.
• General violations: infrequently - easy passing fervescence is very rare - fever, a fever.

Interaction

patients who at the same time apply medicines which can cause a delay of potassium or sodium Should be careful.

to Store

at a temperature not above 25 °C. Not to freeze.

to Store

out of children's reach.

Expiration date - 2 years.