- Active ingredient
- calcium chloride+potassium chloride+sodium acetate+sodium chloride
- Form
- solution
- Manufacturer
- otsuka
- Route
- injection
Uses
Intravenous electrolyte replacement solution indicated for restoring and maintaining fluid and electrolyte balance. Used in dehydration, hypovolemia, and perioperative fluid management. Acetate-based Ringer's solution serves as a balanced crystalloid.
Do not use if
Contraindicated in anuria, hyperkalemia, hypernatremia, hypercalcemia, heart block or myocardial damage, and severe edema due to cardiac, renal, or hepatic failure.
Side effects
Electrolyte imbalances including hypernatremia, hyperkalemia, or hypercalcemia may occur with excessive administration. Fluid overload can lead to edema and worsening of heart failure. ECG changes may occur with abnormal potassium levels.
Warnings
Monitor electrolyte levels and fluid balance closely during administration. Use with caution in patients with renal impairment, heart failure, or hypertension. Concentrated solutions must be diluted before administration.
How it works
This balanced electrolyte solution replenishes extracellular fluid volume and corrects electrolyte deficits. Sodium maintains osmolality and extracellular fluid volume. Potassium is the principal intracellular cation essential for neuromuscular function. Calcium supports cardiac and skeletal muscle contractility. Acetate is metabolized to bicarbonate, providing buffering capacity.
Storage
Store at room temperature, 20–25°C. Protect from freezing. Single-dose containers; discard unused portion.