Correction of disorders of water and electrolyte balance, as well as metabolic disorders should be held before the start of the infusion. Since the product does not contain vitamins and minerals, that when added before the start of infusion should determine the doses of these agents (depending on injectable deca durabolin for sale requirements) and calculate the osmolality of the solution. Use this product only if the container is not damaged or punctured walls between sections (i.e., the contents of the three sections was not mixed) with glucose and amino acid solutions must be transparent, and the emulsion – homogeneous.
During the course of treatment requires monitoring of fluid and electrolyte balance, the osmolarity of plasma acid-base balance, blood glucose and liver function tests.
regularly must be assessed in the plasma concentration of triglycerides. and ability to remove lipids from the bloodstream.
The concentration of serum triglycerides during infusion should not exceed 3 mg / l. Their concentration should be measured not earlier than 3 hours after the start of infusion.
If you suspect that the lipid metabolism disorders, it is recommended to repeat the same tests after 5-6 hours after discontinuation of the emulsion. In adults, the “cleansing” of the serum (elimination of lipids) must be less than 6 hours after stopping the infusion of the lipid emulsion. The next infusion should only be carried out after the concentration of triglycerides in the plasma returned to normal. Also, you should conduct regular clinical and biochemical examinations in the following cases :
- When liver failure – because of the risk of occurrence or enhancement of neurological disorders associated with hyperammonemia.
- In renal insufficiency, especially if there is hyperkalemia; the risk of new or worsening metabolic acidosis and hyperasotemia in the absence of the possibility to carry out hemofiltration or dialysis.
- Diabetes mellitus: monitoring of glucose concentrations, glucosuria, ketonuria and, where possible, correct insulin dose.
- Disorders of blood coagulation.
- Hyperlipidemia (because lipids are present in the emulsion).
With prolonged use (several weeks) should more closely monitor the blood and clotting factors. Special injectable deca durabolin for sale instructions for use in pediatric patients : In the selection of dose should be guided by the child’s age, the protein and energy requirements, as well as on the disease. If necessary add enterally proteins and / or “power” components (carbohydrates, lipids). When parenteral nutrition in children over 2 years is advisable to select the volume of the container in accordance with the daily dose. Requires adding vitamins and minerals in doses always used in pediatrics.
INTERACTION WITH OTHER DRUGS
emulsion for infusion must not be administered simultaneously with blood through the same catheter because of the possibility psevdoagglyutinatsii.
If blood sampling was performed before the lipids are eliminated from plasma (usually 5-6 hours after discontinuation of the emulsion ), the lipids contained in the emulsion can influence the results of some laboratory tests, for injectable deca durabolin for sale example, they can modify the parameters bilirubin, lactate dehydrogenase, oxygen saturation of hemoglobin.