Label: ALFA VETERINARY DEXTROSE AND SODIUM CHLORIDE- dextrose and sodium chloride injection, solution
- NDC Code(s): 72483-205-01, 72483-205-05, 72483-205-10, 72483-205-25
- Packager: Alfa VeteriLaboratorios Alfa SR
- Category: PRESCRIPTION ANIMAL DRUG LABEL
- DEA Schedule: None
- Marketing Status: unapproved drug other
DISCLAIMER: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here.
Updated February 19, 2020
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Veterinary 5% dextrose in 0.9% Sodium Chloride Injection, USP is a sterile, non-pyrogenic solution for fluid replenishment in single dose containers for intravenous administration. Discard unused portion. It contains no antimicrobial agents.
Table 1. Veterinary 5% Dextrose in 9% Sodium Chloride Injection, USP Size (mL) Composition (g/ 100mL) *Osmolarity
Caloric Content (kcal/L) Dextrose 1H2O Sodium
Chloride, USP (NaCl)
Sodium Chloride 100 5.5 0.9 586 3.2-6.5 154 154 170 250 500 1000
No venting is necessary during infusion.
- CLINICAL PHARMACOLOGY
- INDICATIONS AND USAGE
Excessive administration of 5% Dextrose in 0.9% Sodium Chloride Injection, USP may result in significant hypokalemia.
Veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP, should be used with great care, if at all, in patients with congestive heart failure, severe renal insufficiency, and in clinical states in which there exists edema with sodium retention.
Veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP should not be administered simultaneously with blood through the same administration set because of the possibility of pseudo agglutination or hemolysis.
The container label for these injections bears the statement: Do not administer simultaneously with blood.
The intravenous administration of veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, over-hydration, congested states, or pulmonary edema.
The risk of dilutive states is inversely proportional to the electrolyte concentration of the injections.
The risk of solute overload causing congested states with peripheral and pulmonary edema is directly proportional to the electrolyte concentrations of the injections.
In patients with diminished renal function, administration of veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP may result in sodium retention proportional to the electrolyte concentrations of the injections.
Keep out of the reach of children.
Reactions which may occur because of the solution or the technique of administration include febrile response, infection at the site of injection, venous thrombosis or phlebitis extending from the site of injection, extravasation and hypervolemia.
If an adverse reaction does occur, discontinue the infusion, evaluate the patient, institute appropriate therapeutic countermeasures and save the remainder of the fluid for examination if deemed necessary.
5% Dextrose in 0.9% Sodium Chloride Injection, USP should be used with caution in patients with overt or subclinical diabetes mellitus.
Clinical evaluation and periodic laboratory determinations are necessary to monitor changes in fluid balance, electrolyte concentrations, and acid base balance during prolonged parenteral therapy or whenever the condition of the patient warrants such evaluation.
Caution must be exercised in the administration of veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP to patients receiving corticosteroids or corticotrophin.
Veterinary 5% Dextrose in 0.9% Sodium Chloride Injection, USP should be used with caution in patients with known subclinical or overt diabetes mellitus.
Do not administer unless solution is clear and both seal and container are intact.
DOSAGE AND ADMINISTRATION
As directed by a veterinarian. Dosage is dependent upon the age, weight and clinical condition of the patient, as well as laboratory determinations.
Parenteral drug products should be inspected visually for particulate matter and discolorations prior to administration whenever solution and container permit.
All injections in plastic containers are intended for intravenous administration using sterile equipment.
Additives may be incompatible. Complete information is not available. Those additives known to be incompatible should not be used. Consult with pharmacist, if available. If, in the informed judgment of the veterinarian, it is deemed advisable to introduce additives, use aseptic technique. Mix thoroughly when additives have been introduced.
Do not store solutions containing additives. Discard unused portion.
PRECAUTION FOR USE OF THE BOTTLE
This is a single dose container and does not contain preservatives. If leaks are found, discard solution as sterility may be impaired.
Use the solution immediately after the bottle is opened, discard the remaining one. Discard unused portion. If supplemental medication is desired follow directions below:
Do not administer simultaneously with blood.
Do not use it unless solution is clear and seal is intact, the solution containing dextrose may be contraindicated in patients with a known allergy to corn or corn products.
Preparation and administration
Check for minute leaks by squeezing the container firmly. If leaks are found, discard solution as sterility may be impaired.
Suspend container from eyelet support.
Remove Plastic protector from ports area at the bottom of container.
Hold the bottle in vertical position and inset pyrogen free IV administration set in the outlet port. Use aseptic Technique.
To add medication
WARNING:Additives may be incompatible.
To add medication before solution administration
1. Prepare medication site.
2. Using syringe with 19 to 22 gauge needle, puncture inlet port and inject.
3. Mix solution and medication thoroughly. Return container to in-use position and continue administration. For high density medication such as potassium chloride, squeeze ports while ports are upright and mix thoroughly.
To add medication during solution administration
1. Close clamp on the set.
2. Prepare medication site.
3. Using syringe with 19 to 22 gauge needle, puncture inlet port and inject.
4. Remove container from IV pole and/or turn to an upright position.
5. Mix solution and medication thoroughly.
6. Return container to in use position and continue administration.
CAUTION: Federal law (USA) restricts this drug to use by or on the order of a licensed veterinarian.
- PACKAGE INSERT
- PRINCIPAL DISPLAY PANEL
INGREDIENTS AND APPEARANCE
ALFA VETERINARY DEXTROSE AND SODIUM CHLORIDE
dextrose and sodium chloride injection, solution
Product Information Product Type PRESCRIPTION ANIMAL DRUG Item Code (Source) NDC:72483-205 Route of Administration INTRAVENOUS Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength DEXTROSE MONOHYDRATE (UNII: LX22YL083G) (ANHYDROUS DEXTROSE - UNII:5SL0G7R0OK) DEXTROSE MONOHYDRATE 5.5 g in 100 mL SODIUM CHLORIDE (UNII: 451W47IQ8X) (CHLORIDE ION - UNII:Q32ZN48698) SODIUM CHLORIDE 900 mg in 100 mL Inactive Ingredients Ingredient Name Strength WATER (UNII: 059QF0KO0R) Packaging # Item Code Package Description Marketing Start Date Marketing End Date 1 NDC:72483-205-10 1000 mL in 1 BOTTLE, PLASTIC 2 NDC:72483-205-05 500 mL in 1 BOTTLE, PLASTIC 3 NDC:72483-205-25 250 mL in 1 BOTTLE, PLASTIC 4 NDC:72483-205-01 100 mL in 1 BOTTLE, PLASTIC Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date unapproved drug other 11/25/2019 Labeler - Alfa VeteriLaboratorios Alfa SR (815941244)