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Dextran 1
Pronunciation
U.S. Brand Names
Generic Available
Pharmacological Index
Use
Pregnancy Risk Factor
Contraindications
Warnings/Precautions
Adverse Reactions
Stability
Mechanism of Action
Usual Dosage
Cardiovascular Considerations
Dental Health: Local Anesthetic/Vasoconstrictor Precautions
Dental Health: Effects on Dental Treatment
Nursing Implications
Dosage Forms
References

Pronunciation
(DEKS tran won)

U.S. Brand Names
Promit®

Generic Available

No


Pharmacological Index

Plasma Volume Expander


Use

Prophylaxis of serious anaphylactic reactions to I.V. infusion of dextran


Pregnancy Risk Factor

C


Contraindications

Hypersensitivity to dextrans or any component; dextran contraindicated


Warnings/Precautions

Severe hypotension and bradycardia can occur. If any reaction occurs, do not administer dextran. Mild dextran-induced anaphylactic reactions are not prevented.


Adverse Reactions

<1% (Limited to important or life-threatening symptoms): Mild hypotension, tightness of chest, wheezing


Stability

Protect from freezing


Mechanism of Action

Binds to dextran-reactive immunoglobulin without bridge formation and no formation of large immune complexes


Usual Dosage

I.V. (time between dextran 1 and dextran solution should not exceed 15 minutes):

Adults: 20 mL 1-2 minutes before I.V. infusion of dextran


Cardiovascular Considerations

Dextran use in patients with restrictive cardiovascular disease or renal and hepatic impairment should be used with extreme caution. Dextran can also result in an anaphylactoid reaction. Patients should be observed closely during the first several minutes of the infusion in case anaphylactoid reaction occurs.


Dental Health: Local Anesthetic/Vasoconstrictor Precautions

No information available to require special precautions


Dental Health: Effects on Dental Treatment

No effects or complications reported


Nursing Implications

Do not dilute or admix with dextrans


Dosage Forms

Injection: 150 mg/mL (20 mL)


References

Renck H, Ljungstrom KG, Hedin H, et al, "Prevention of Dextran-Induced Anaphylactic Reactions by Hapten Inhibition," Acta Chir Scand, 1983, 149(4):355-60.


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