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pentastarch (Pentaspan)
Indications:
- plasma volume expansion
Dosage:
- 500 mL IV infusion as needed
- maximum: 2000 mL in 24 hours
Pharmacokinetics:
- Pentastarch molecules below 50,000 daltons molecular weight are rapidly eliminated by renal excretion
- single dose of approximately 500 mL of pentastarch results in elimination in the urine of ~ 70% of the dose within 24 hours, & approximately 80% of the dose within 1 week
General
carbohydrate; sugar
plasma volume expander
References
- PentaSpan
http://www.rxmed.com/b.main/b2.pharmaceutical/b2.1.monographs/CPS-%20Monographs/CPS-%20(General%20Monographs-%20P)/PENTASPAN.html
- Brunkhorst FM et al
Intensive Insulin Therapy and Pentastarch Resuscitation
in Severe Sepsis
N Engl J Med 2008; 358:125-139
PMID: 18184958
http://www.nejm.org/doi/full/10.1056/NEJMoa070716