Class:
Artificial and Natural Colloid Solutions – Plasmanate, Dextran, Hespan, etc.

Action:
Dextran or amylopectin molecules (or plasma protein fractionate in the case of plasmanate) is added to a base (saline) to create a solution with high colloid osmotic pressure. Large molecules encourage osmosis into the vascular space. These fluids help increase and maintain intravascular volume.

Indications:
Hypovolemic shock
Shock secondary to burns
Hypoproteinemia

Precautions:
Pulmonary edema
Elevated blood pressure
Allergic reactions (see Blood Products Administration for Natural Colloid Solutions)
Do not administer Dextran or Hespan concurrently with anticoagulants
*Do not combine with other fluids or medications in the same tubing

Adult Dosing:
Follow Written Orders for rate and total volume