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KA-EN 3A AND KA-EN 3B

Bismillahirrahmanirrahim

KA-EN 3A and KA-EN 3B are generally recommended for the supply or replenishment of water and electrolytes which are needed for daily maintenance. The composition is based on the average required amounts of water and electrolytes in normal humans.
These solutions are generally recommended for use post surgery in which patients have difficulties in the oral intake of water and electrolytes, and for hypertonic dehydration with hypokalaemia.
KA-EN 3A is recommended for use in infant because its lower content of K, and KA-EN 3B in adults as a maintenance solution. 

Composition
Each 1000 mL of the solution contains the following ingredients :

No
KA-EN 3A
KA-EN 3B
Composition
Amount
Composition
Amount
1.
Sodium Chloride
  2.34 g
Sodium Chloride
  1.75 g
2.
Potassium Chloride
  0.75 g
Potassium Chloride
  1.50 g
3.
Sodium Lactate
  2.24 g
Sodium Lactate
  2.24 g
4.
Anhydrous Dextrose
27.00 g
Anhydrous Dextrose
27.00 g

Indication
KA-EN 3A and KA-EN 3B are indicated for supply or maintenance of water and electrolytes in the case of impossible or insufficient oral intake.

Precautions
  • The use of this solution should be carefully supervised  in the following cases:

a.       Congestive heart failure
b.      Renal failure
c.   Perifer and pulmonary oedema
d.      Pre eclampsia
e.       Hypertension
f.       Early post-traumatic state
g.      Severe sepsis
h.      Acidosis
i.        Reduced urinary output due to obstructive urinary tract disease
j.        Diabetes mellitus
  • Potassium supplements are particulary dangerous in patients who are also receiving potassium sparing diuretic
  • The infusions should not be mixed with whole blood ; haemolysis and clumping has occurred
  • The electrocardiogram and serum potassium concentration should be monitored frequently and adequate urinary output must be assured. 

Especially for KA-EN 3 B :
  • The safety of this solution during pregnancy and lactation has not been assessed, but its use during these periods is not considered to constitute hazard.


Contra Indication
  1. Lactiacidemia
  2. Hyperkalemia, oliguria, Addison’s disesase, severe burn, and azotemia
  3. Patient’s with sodium overload, glucose-galactose malabsorption syndrome.


Storage
At room temperature (25 C – 30 C)

Wallahu’allam

PT Otsuka Indonesia
Lawang-East Java

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