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HETASTARCH HETASTARCH

Guidelines for Use

It is considered appropriate to use hetastarch in the following conditions.

1. Volume expansion for:

a. Shock (other than blood loss) when systolic blood pressure is less than 90 mm Hg; central venous pressure or pulmonary capillary wedge pressure is low or when excessive volumes of crystalloids are required to maintain blood pressure. Should be administered in conjunction with crystalloids.

b. Shock due to blood loss (after a crystalloid solution) when estimated blood loss is less than 10 to 15% of total volume.

c. Acute edemetous states except those precipitated by nephrosis.

Dose:

Limit to 1000 ml every 24 hours. Interspace with crystalloids and albumin if needed.

Monitor:

With continuous use of hetastarch, monitor prothrombin time and partial thrombplastin time.

RECOMMENDATION:

There is little discernable difference between hetastarch and albumin. For this reason the product of choice in most cases should be based on the product which costs the least to purchase.

University of Arkansas for Medical Sciences
4301 W. Markham St., Little Rock, AR 72205

To Make an Appointment Call the Appointments Center at: 1-501-686-8000 or 1-800-942-8267
For Patient Information/Rooms, Call 1-501-686-6416
For General Information and for Numbers Not Listed, Call 1-501-686-7000
For International Patient Appointments, Call 1-501-686-8071

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