potassium chloride 20meq in dextrose 5% and lactated ringer's in plastic container
Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container is a combination medicine containing Calcium Chloride, Dextrose, Potassium Chloride, Sodium Chloride, and Sodium Lactate.
Calcium Chloride and Dextrose and Potassium Chloride and Sodium Chloride and Sodium Lactate · by Otsuka Icu Medcl
Key facts
- Active ingredient
- Calcium Chloride and Dextrose and Potassium Chloride and Sodium Chloride and Sodium Lactate
- Form
- Injectable
- Strength
- Calcium Chloride 20MG/100ML; Dextrose 5GM/100ML; Potassium Chloride 179MG/100ML; Sodium Chloride 600MG/100ML; Sodium Lactate 310MG/100ML · Calcium Chloride 20MG/100ML; Dextrose 5GM/100ML; Potassium Chloride 328MG/100ML; Sodium Chloride 600MG/100ML; Sodium Lactate 310MG/100ML
- Type
- Prescription (Rx)
- Brand or generic
- Brand-name
- Manufacturer
- Otsuka Icu Medcl
- What the pharmacy pays
- ~$0.04 per ml — not your price
- FDA application
- NDA019685
What is Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container?
From the FDA label:Intravenous solution with potassium chloride (I.V. solutions with KCl) is a sterile and nonpyrogenic solution in water for injection. This solution is for administration by intravenous infusion only. See Table for summary of content and characteristics of this solution. The solution contains no bacteriostat, antimicrobial agent or added buffer and is intended only for use as a single-dose injection. When smaller doses are required the unused portion should be discarded. This solution is a parenteral fluid, nutrient and/or electrolyte replenisher. Dextrose, USP is chemically designated D-glucose, monohydrate (C 6 H 12 O 6 • H 2 O), a hexose sugar freely soluble in water. It has the following structural formula: Potassium Chloride, USP is chemically designated KCl, a white granular powder freely soluble in water. Sodium Chloride, USP is chemically designated NaCl, a white crystalline powder freely soluble in water. Calcium Chloride, USP is chemically designated calcium chloride dihydrate (CaCl 2 • 2H 2 O), white fragments or granules freely soluble in water. Sodium Lactate, USP is chemically designated monosodium lactate [CH 3 CH(OH)COONa], a 60% aqueous solution miscible in water. It has the following structural formula: Water for Injection, USP is chemically designated H 2 0. The flexible plastic container is fabricated from a specially formulated polyvinylchloride. Water can…
How to use
This solution should be administered only by intravenous infusion and as directed by the physician. The dose and rate of injection are dependent upon the age, weight and clinical condition of the patient. If the serum potassium level is greater than 2.5 mEq/liter, potassium should be given at a rate not to exceed 10 mEq/hour in a concentration less than 30 mEq/liter. Somewhat faster rates and greater concentrations (usually up to 40 mEq/liter) of potassium may be indicated in patients with more severe potassium deficiency. The total 24-hour dose should not generally exceed 200 mEq of potassium. As reported in the literature, the dosage and constant infusion rate of intravenous dextrose must be selected with caution in pediatric patients, particularly neonates and low birth weight infants, because of the increased risk of hyperglycemia/hypoglycemia. Drug Interactions Additives may be incompatible. Consult with pharmacist, if available. When introducing additives, use aseptic technique, mix thoroughly and do not store. The presence of calcium limits their compatibility with certain drugs that form precipitates of calcium salts, and also prohibits their simultaneous infusion through the same administration set as blood because of the likelihood of coagulation. Parenteral drug products should be inspected visually for particulate matter and discoloration prior to administration,…
Side effects
Reactions which may occur because of the solutions or 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. Nausea, vomiting, abdominal pain and diarrhea have been reported with potassium therapy. The signs and symptoms of potassium intoxication include paresthesias of the extremities, flaccid paralysis, listlessness, mental confusion, weakness and heaviness of the legs, hypotension, cardiac arrhythmias, heart block, electrocardiographic abnormalities such as disappearance of P waves, spreading and slurring of the QRS complex with development of a biphasic curve and cardiac arrest. Potassium-containing solutions are intrinsically irritating to tissues. Therefore, extreme care should be taken to avoid perivascular infiltration. Local tissue necrosis and subsequent sloughing may result if extravasation occurs. Chemical phlebitis and venospasm have also been reported. Should perivascular infiltration occur, I.V. administration at that site should be discontinued at once. Local infiltration of the affected area with procaine hydrochloride, 1%,…
Warnings
Important safety information
Solutions containing calcium ions should not be administered simultaneously through the same administration set as blood because of the likelihood of coagulation. Solutions which contain potassium ions should be used with great care, if at all, in patients with hyperkalemia, severe renal failure and in conditions in which potassium retention is present. To avoid potassium intoxication, do not infuse these solutions rapidly. In patients with severe renal insufficiency or adrenal insufficiency, administration of potassium chloride may cause potassium intoxication. Solutions containing sodium ions 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. In patients with diminished renal function, administration of solutions containing sodium or potassium ions may result in sodium or potassium retention. Solutions containing lactate ions should be used with great care in patients with metabolic or respiratory alkalosis. The administration of lactate ions should be done with great care where there is an increased level or an impaired utilization of lactate ions, as in severe hepatic insufficiency. The intravenous administration of this solution can cause fluid and/or solute overloading resulting in dilution of serum electrolyte concentrations, overhydration, congested states or pulmonary edema. The risk of dilutional states is inversely proportional to the electrolyte concentration of administered parenteral solutions. The risk of solute overload causing congested states with peripheral and pulmonary edema is directly proportional to the electrolyte concentrations of such solutions.
Who should not take Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container
Solutions containing potassium chloride are contraindicated in diseases where high potassium levels may be encountered. Solutions containing lactate are NOT FOR USE IN THE TREATMENT OF LACTIC ACIDOSIS.
Overdose — what happens if you take too much
In the event of potassium overdosage, discontinue the infusion immediately and institute intensive corrective therapy to reduce serum potassium levels. (See WARNINGS and PRECAUTIONS.)
U.S. Poison Control: call or text 1-800-222-1222 (free, 24/7). In an emergency call 911. From the FDA label; not medical advice.
Dosage forms
Injectable
The forms currently marketed in the U.S., per the FDA National Drug Code Directory.
Ways to save
Ask for the generic
Same active ingredient, far cheaper. Is there a generic? →
Request a 90-day supply
Bulk fills usually lower the per-dose price vs monthly refills.
Use copay cards
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Frequently asked questions
- How much does Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container cost?
- Nobody can tell you what you will pay — your price is set by your insurer's formulary, your deductible and the pharmacy's markup, and none of those are published. What IS published is what the pharmacy paid to acquire it: about $0.04 per ml, per the CMS NADAC survey. Treat that as the floor, not the quote — ask the pharmacist for the cash price as well as your copay, because for cheap generics the cash price often wins.
- Is there a coupon or discount for Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container?
- pharmaranks is an independent ratings site, not a pharmacy — we don't issue coupons or sell Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container. To pay less, ask your prescriber or pharmacist whether a generic equivalent exists, check the manufacturer's copay/savings card and patient-assistance program, and compare a pharmacy discount card against your insurance copay. Prices vary by pharmacy, insurance, and location, so always confirm at the counter. This is general reference, not medical or financial advice.
- Who makes Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container?
- Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container is marketed by Otsuka Icu Medcl. You can see Otsuka Icu Medcl's full profile, rating, and other products on pharmaranks.
- Is Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container a brand-name or generic drug?
- Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container is a brand-name product with the active ingredient Calcium Chloride and Dextrose and Potassium Chloride and Sodium Chloride and Sodium Lactate.
- Is Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container available over the counter?
- No. Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container is a prescription (Rx) medication in the US — you need a prescription from a licensed clinician (in person or via telehealth); it isn't sold over the counter. For some conditions there are OTC alternatives — ask your pharmacist.
- What forms does Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container come in?
- Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container is currently marketed as injectable, per the FDA's National Drug Code Directory.
- Is Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container FDA-registered?
- Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container is on record with the U.S. FDA under application number NDA019685. You can verify this on its official FDA label.
- Is Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container safe?
- There's no single safe-or-not verdict, and we don't yet have a composite recall-safety score for Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container. Review its FDA-label side effects and warnings below, and always consult a licensed professional.
- What are the side effects of Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container?
- Potassium Chloride 20meq in Dextrose 5% and Lactated Ringer's in Plastic Container's side effects are taken directly from its FDA label. From the label: Reactions which may occur because of the solutions or 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,… Both common and serious reactions are documented in full on this page. This is general reference from the FDA, not medical advice — always consult a professional.
Clinical content sourced from the FDA label via openFDA (U.S. FDA). View the FDA label on DailyMed → Provided for general reference only — not medical advice. Always consult a licensed professional and the current prescribing information.
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