lace the
drainage container below the level of the abdomen.
6. Open transfer set to drain the solution from abdomen. If drainage cannot be established, contact your
clinician. When drainage complete, close transfer set.
7. Remove clamp from solution line and flush new solution to flow into the drainage container for 5
seconds to prime the line. Clamp drain line after flush complete.
8. Open transfer set to fill. When fill complete, close transfer set.
9. Disconnect ULTRABAG container from transfer set and apply MINICAP disconnect cap.
10. Upon completion of therapy, discard any unused portion.
APD therapy using AMBU-FLEX containers with pull rings or plastic containers with blue pull tips or pull ringsSelect appropriate formulation from Table 1, 2 or 3.
Put on mask. Clean and/or disinfect hands. Using aseptic technique;
1. Remove the tip protector from connector of solution container. Do not reuse the solution or container oncethe tip protector is removed.
2. Immediately attach the solution container to an appropriate automated peritoneal dialysis set.
3. Continue therapy as instructed in user manual or directions accompanying tubing sets for automatedperitoneal dialysis.
4. Upon completion of therapy, discard any unused portion.
3 DOSAGE FORMS AND STRENGTHS
DIANEAL peritoneal dialysis solution is formulated with the following ionic concentrations:
Table 1 - DIANEAL PD-2 and Low Calcium Peritoneal Dialysis Solution
ULTRABAG Container for CAPD therapy
AMBU-FLEX Container with pull ring for APD therapy
O
S
M
O
L
A
RIT
Y
(m
Osmol/L) (calc)
p
H
Ionic Concentration
(mEq/L)
Sodiu
m
Calciu
m
Mag
nesiu
m
C
hloride
Lactate
DIANEAL PD-2
1.5% Dextrose
346 5.2
(4.0 to 6.5)
132 3.5 0.5 96 40
DIANEAL PD-2
2.5% Dextrose
396 5.2
(4.0 to 6.5)
132 3.5 0.5 96 40
DIANEAL PD-2
4.25% Dextrose
485 5.2
(4.0 to 6.5)
132 3.5 0.5 96 40
DIANEAL Low Calcium (2.5 mEq/L)
1.5% Dextrose
344 5.2
(4.0 to 6.5)
132 2.5 0.5 95 40
DIANEAL Low Calcium (2.5 mEq/L)
2.5% Dextrose
395 5.2
(4.0 to 6.5)
132 2.5 0.5 95 40
DIANEAL Low Calcium (2.5 mEq/L)
4.25% Dextrose
483 5.2
(4.0 to 6.5)
132 2.5 0.5 95 40
Table 2 - DIANEAL Low Calcium Peritoneal Dialysis Solution
Plastic container with blue pull tip for APD therapy
OSMOLARITY
(mOsmol/L)
(calc)
p
H
Ionic Concentration
(mEq/L)
Sodiu
m
Calciu
m
Mag
nesiu
m
C
hloride
Lactate
DIANEAL Low Calcium (2.5 mEq/L)
1.5% Dextrose
344 5.0 to 6.5 132 2.5 0.5 95 40
DIANEAL Low Calcium (2.5 mEq/L)
2.5% Dextrose
395 5.0 to 6.5 132 2.5 0.5 95 40
DIANEAL Low Calcium (2.5 mEq/L)
4.25% Dextrose
483 5.0 to 6.5 132 2.5 0.5 95 40
Table 3 - DIANEAL Low Calcium Peritoneal Dialysis SolutionPlastic container with pull ring for APD therapy
OSMOLARITY
(mOsmol/L)
(calc)
p
H
Ionic Concentration
(mEq/L)
Sodiu
m
Calciu
m
Mag
nesiu
m
C
hloride
Lactate
DIANEAL Low Calcium (2.5 mEq/L)
1.5% Dextrose
344 5.0 to 5.6 132 2.5 0.5 95 40
DIANEAL Low Calcium (2.5 mEq/L)
2.5% Dextrose
395 5.0 to 5.6 132 2.5 0.5 95 40
4 CONTRAINDICATIONS
DIANEAL peritoneal dialysis solutions are contraindicated in patients with severe lactic acidosis.
5 WARNINGS AND PRECAUTIONS
5.1 Peritonitis and Encapsulating Peritoneal Sclerosis
Perito |
