Kabiven peripheral, container 1920ml, 4pcs

Composition

A 1920 ml bag contains:

glucose 11% – 1180 ml,

vamin 18 Novum-400 ml,

intralipid 20% – 340 ml.

Energy value – 1400 kcal

Osmolarity-about 750 mOsm/l

pH 5.4-5.8

Pharmacological action

Kabiven peripheral-means for parenteral nutrition. The effect of the drug is determined by the pharmacological activity of its components.

Vamin 18 Novum is intended for parenteral nutrition of patients with various pathologies with an increased need for protein, when enteral nutrition is ineffective or impossible.

Glucose is an essential source of fast-releasing energy, which is also necessary for the metabolism of amino acids. Intralipid is used for parenteral nutrition of patients as a source of energy and essential fatty acids. Intralipid is indicated for patients with a deficiency of essential fatty acids, unable to independently replenish the normal balance of essential fatty acids by oral consumption.

Intralipid contains purified soybean oil emulsified with purified egg phospholipids. The size of lipid globules and the biological properties of Intralipid are similar to those of endogenous chylomicrons. Unlike chylomicrons, Intralipid does not contain cholesterol esters and apolipoprotein, and the content of phospholipids in it is higher.

Simultaneous infusion of a dextrose solution and a lipid emulsion reduces the risk of thrombophlebitis (due to a decrease in the osmolarity of dextrose when diluted), which always exists when hypertonic solutions are infused into peripheral veins.

Indications

Parenteral nutrition for adults and children aged 2 years.

Contraindications

• Known hypersensitivity to egg or soy proteins or to any auxiliary component of the drug
• Severe hyperlipidemia
• Severe liver failure
• Severe blood clotting disorders
• Congenital disorders of amino acid metabolism
• Severe renal failure in the absence of hemodialysis or hemofiltration
• Acute phase of shock
• Hyperglycemia requiring the use of insulin in the amount of more than 6 U/h.
• Pathologically elevated concentration in the blood plasma of any of the electrolytes included in the preparation
• General contraindications to infusion therapy: acute pulmonary edema, hyperhydration, decompensated heart failure, and hypotonic dehydration.
• Unstable conditions (including post-traumatic stress disorder, uncompensated diabetes mellitus, acute myocardial infarction, decompensated metabolic acidosis, severe sepsis, and hyperosmolar coma)

With caution: in case of lipid metabolism disorders due to renal failure, diabetes mellitus, pancreatitis, liver function disorders, hypothyroidism (with hypertriglyceridemia) or sepsis. When Cabiven peripheral is administered to patients with such disorders, careful monitoring of the concentration of triglycerides in blood plasma is absolutely necessary.

Kabiven peripheral is intended primarily for patients over 2 years of age. For children under 2 years of age. Kabiven peripheral can be used only for vital indications in the absence of special adapted amino acid solutions containing taurine (Aminoveninfant).

Premature babies and babies with low birth weight may have impaired fat metabolism. Triglyceride concentrations should be carefully monitored.

Side effects

Allergic reactions: anaphylactic reaction, fever, chills, shivering, skin rash, hives.

From the respiratory system: changes in breathing (tachypnea).

From the cardiovascular system: decrease or increase in blood pressure.

From the digestive system: increased activity of liver enzymes, abdominal pain.

From the hematopoietic system: hemolysis, reticulocytosis.

Local reactions: thrombophlebitis when infused into peripheral veins.

Other: headache, priapism.

With proper use, side effects are extremely rare.

How to take, course of use and dosage

Before use, separate the partitions and mix the contents of the three chambers. Infusion into the peripheral and central veins is possible. The dose depends on your amino acid and energy requirements:

When the need for amino acids is 0.7-1.4 g/kg/day, (the need for nitrogen is 0.10-0.20 g/kg/day) and the energy requirement is 20-35 kcal/kg/day, the dose of Kabiven peripheral is 27-40 ml per 1 kg of body weight per day.

Form of production

Emulsion for infusions

Storage conditions

At a temperature not exceeding 25 °C

Shelf life

2 years

Active ingredient

Amino acids for parenteral nutrition

Conditions of release from pharmacies

By prescription

Dosage form

emulsion for infusions