Fluid therapy with L-lactate and/or pyruvate anions
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The following examples are merely illustrative of the present invention and are not intended as a limitation upon the scope thereof.
examples 1-4
The following Table III illustrates particular solutions of this invention:
TABLE III (Values are in mMoles / Liter) Ex. No. Component Class I Class II Class III 1 l-lactate.sup.(1) 1000 Na.sup.+ 1000 2 pyruvate.sup.(2) 1000 Na.sup.+ 1000 3 l-lactate.sup.(3) 900 pyruvate 100 Na.sup.+ 1000 4 l-lactic acid 5 Table III footnotes: .sup.(1) For treatment of acidosis see Merck Handbook p 1866 12th edition. .sup.(2) For treatment of acidosis when severe reduction of [NAD.sup.+ ] / [NADH] is present (see USSN 748,232). .sup.(3) For treatment of acidosis when redox balance is desired (see USSN 748,232). .sup.(4) For use as an additive to a bicarbonate containing solution (see USSN 748,232).
examples 5-12
Illustrative examples of various physiological abnormalities which are treatable by using various starting solutions of the present invention are shown in Table IV below:
TABLE IV Exemplary Usenges Condition Where Useful Fluid Composition Route of and solution Cation(s) Anion(s) Administration, common name in mMoles / liter and Dose 5. Dehydration Na.sup.+ 130 Cl.sup.- 109 parenteral, (L-lactated K.sup.+ 3 l-lactate.sup.- 28 500 ml to 3 Ringers).sup.(1) Ca.sup.2+ 1.5 liters per day depending on severity and cause 6. Peritoneal Na.sup.+ 141 Cl.sup.- 101 Introperitoneal, Dialysis Ca.sup.2+ 1.75 l-lactate.sup.- 45 4 to 8, 2 liter (Dianeal.sup.(2) Mg.sup.2+ 0.75 bags per day w / 1.5% (also dextrose 83) Dextrose, Travenol).sup.(3) 7. Metabolic Na.sup.+ 156.1 l-lactate 156.1 parenteral or Acidosis oral, 10 ml to (Isotonic 1 L depending sodium l- on size lactate of patient solution).sup.(4) 8. Cardiac Mg.sup.+ 145 Cl.sup.- 115 Intracoronary Reperfusion Ca.sup.2+ 0.5 HCO.sub.3.sup.- 25 infusion ...
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