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Norkenz

Norkenz

norepinephrine

Manufacturer:

BCWorld Pharm

Distributor:

Bell-Kenz Pharma

Marketer:

JLT Pharma
Concise Prescribing Info
Contents
Norepinephrine bitartrate
Indications/Uses
Secondary treatment of acute hypotension or shock according to different diseases (shock due to MI & septicemia caused by shock, anaphylactic shock, hypotension or shock, according to decreased circulating blood vol, acute hypotension during anesth); cardiac arrest.
Dosage/Direction for Use
Acute hypotension or shock Increase or decrease properly by diluting 8 mg (norepinephrine as 4 mg) to 5% glucose inj liqd or 1,000 mL of 5% glucose saline inj while observing the reaction by IV infusion at 2-3 mL/min. Maintenance: 0.5-1 mL/min. Cardiac arrest Administer IV inj for case of acute hypotension or shock after retaining valid heart rate & ventilation while cardiac resuscitation.
Contraindications
Low BP due to lack of blood vol, high BP, hyperthyroidism, pheochromocytoma, pulmonary heart disease, severe arrhythmia. Patients w/ anesthetized fingers, toes, & nose. Renal dysfunction. Pregnancy.
Special Precautions
Hypersensitivity. Patients w/ cocaine poisoning; ventricular tachycardia; atherosclerosis; heart disease; bradycardia; coronary, mesenteric, peripheral vascular thrombosis; hypotension due to MI; Prinzmetal angina. May cause an excessive increase in BP & acute pulmonary edema action, arrhythmia, cardiac arrest. Check the BP & administration rate while injecting. Use α blocker (phentolamine) if excessive rise in BP. Avoid administering for pregnant or possible pregnant women. Lactation. Elderly.
Adverse Reactions
Ischemic injury due to potent vasoconstrictor action & tissue hypoxia. Cardiogenic shock, arrhythmia, bradycardia, stress cardiomyopathy; anxiety, transient headache; resp difficulty; extravasation necrosis at inj site.
Drug Interactions
Increased cardiac autonomic irritability & risk of producing ventricular tachycardia or fibrillation w/ cyclopropane & halothane anesth. Severe, prolonged HTN w/ MAOIs or antidepressants of the triptyline or imipramine types.
MIMS Class
Vasoconstrictors
Presentation/Packing
Form
Norkenz soln for inj 1 mg/mL
Packing/Price
4 mL x 10 × 1's (P1,064/ampoule)
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