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|Calfactant |
Drugs search, click the first letter of a drug name: | A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | 1 | 2 | 3 | 4 | 5 | 6 | 8 | 9 Home CalfactantPronouncation: (Kal-FACK-tant)Class: Lung surfactant Trade Names: Mechanism of ActionPharmacologyExtract of natural surfactant from calf lungs that restores lung surfactant in premature infants with lung surfactant deficiency causing respiratory distress syndrome (RDS). Indications and UsageRDS in premature infants under 29 wk of gestational age at high risk for RDS and for the treatment rescue of premature infants under 72 hr of age who develop RDS and require endotracheal intubation. ContraindicationsNone well documented. Dosage and AdministrationNewborn InfantsIntratracheal 3 mL/kg body weight at birth. Dose may be repeated q 12 hr for total of 3 doses. General Advice
Storage/StabilityRefrigerate (36° to 46°F) and protect from light. Unopened, unused vials that have been warmed to room temperature can be returned to refrigerator within 24 hr for future use. Avoid repeated warming. Drug InteractionsNone well documented. Laboratory Test InteractionsNone well documented. Adverse ReactionsCardiovascularBradycardia. RespiratoryCyanosis; airway obstruction. MiscellaneousReflux of surfactant into endotracheal tube; requirement for manual ventilation; reintubation. Precautions
AdministrationAdminister calfactant intratracheally through an endotracheal tube and only in an acute care unit organized, staffed, equipped, and experienced with intubation, ventilation management, and general care of newborns with, or at risk for, RDS. During administration of calfactant liquid suspension into the airway, monitor the infant for bradycardia, reflux of calfactant into the endotracheal tube, airway obstruction, cyanosis, dislodgment of the endotracheal tube, or hypoventilation. If any of these events occur, interrupt administration and stabilize the infant"s condition using appropriate interventions before resuming administration. Dosing precautionsIf any of the following situations occur while administering calfactant, interrupt administration and stabilize the infant"s condition before resuming administration: bradycardia; reflux of calfactant into endotracheal tube; airway obstruction; cyanosis; hypoventilation; dislodgment of endotracheal tube. Endotracheal suctioning/ReintubationBe prepared for possible endotracheal suctioning or reintubation if signs of airway obstruction are present during administration. OverdosageSymptomsOverloading of the lungs with isotonic solution. Patient Information
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