Bicavera 4.25 % Glukoosi, 1.25 Mmol/L Kalsium
bicaVera helps clean the blood for people with kidney failure using a method called peritoneal dialysis, where the cleaning happens inside your belly.
Form
peritoneaalidialyysineste
Strength
4.25 % glukoosi, 1.25 mmol/l kalsium
Active Ingredient
Sodium chloride
Manufacturer
Fresenius Medical Care Deutschland GmbH
How to Use
Dosage
Your doctor will tell you how much to use. For adults, it's usually 2000-2500 ml, 4 times a day for CAPD, or 2000-3000 ml per exchange (3-10 exchanges overnight) for APD. For children, the doctor decides the dose based on their size and age.
Method
You put this liquid medicine into your belly as your doctor or nurse showed you. First, you warm the bag to body temperature and mix the two liquids inside.
Important
Your doctor sets your maximum daily dose. For CAPD, it's typically 8000-10000 ml per day. For APD, your doctor decides the total amount and how many times you change the fluid.
Possible Side Effects
COMMON
- •Peritonitis (belly lining infection): cloudy fluid, belly pain, fever, feeling sick, or rarely, blood infection.
- •Skin infection where the tube enters your body: redness, swelling, pain, discharge, or hard skin.
- •Belly hernia.
- •Problems with the liquid flowing in or out.
- •Feeling full or bloated in your belly.
- •Shoulder pain.
- •Low potassium in your blood.
- •High blood sugar.
- •High fat levels in your blood.
- •Gaining weight.
RARE
- •Diarrhea.
- •Constipation.
- •Trouble breathing.
- •Encapsulating peritoneal sclerosis (EPS): belly pain, swollen belly, or throwing up (a very serious problem).
- •Low calcium in your blood.
- •Losing too much body fluid (fast weight loss).
- •Low blood pressure.
- •Fast heartbeat.
- •Too much body fluid (fast weight gain).
- •Fluid in your body tissues and lungs.
- •High blood pressure.
- •Overactive parathyroid gland: can cause problems with your bones.
Important Warnings
- Do not use bicaVera if your blood potassium or calcium levels are very low, if you have too little fluid in your body, or if you have low blood pressure.
- Don't start peritoneal dialysis if you have severe belly problems like recent surgery, burns, bad skin infections, belly infections (peritonitis), unhealed wounds, hernias, or tumors. Also, don't start if you have severe gut issues (like inflammatory bowel disease or a blocked bowel), bad lung disease (especially pneumonia), a serious blood infection, very high blood fats, or if you are very malnourished.
- Tell your doctor right away if you get a severe salt imbalance (electrolytes) because of vomiting or diarrhea.
- Tell your doctor right away if your parathyroid gland is too active or if your blood calcium is too low.
- Tell your doctor right away if you get a belly infection (peritonitis). Signs include cloudy fluid, belly pain, fever, feeling sick, or rarely, a blood infection. Show your doctor the bag of used fluid.
Show 2 more warnings
- Tell your doctor right away if you have severe belly pain, a swollen belly, or are throwing up. These can be signs of a serious problem called encapsulating peritoneal sclerosis (EPS), which can be life-threatening.
- Peritoneal dialysis can take out important proteins and vitamins from your body. Eat well or take supplements to stay healthy.