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6% Hetastarch in 0.9% Sodium Chloride Injection is a sterile, nonpyrogenic solution for intravenous administration.

Each 100 mL contains:

Hetastarch........................................................................... 6 g

Sodium Chloride, USP....................................................... 0.9 g

Water for Injection, USP.................................................... qs

pH adjusted with Sodium Hydroxide, NF if necessary Concentration of Electrolytes (mEq/L): Sodium (Na+)154, Chloride (Cl-) 154 (not including ions for pH adjustment)

pH: 5.5 (3.5 to 7.0)

Total osmolar concentration is 308 mOsmol/liter (calc)

Hetastarch is a synthetic colloid derived from a waxy starch composed almost entirely of amylopectin. Hydroxyethyl ether groups are introduced into the glucose units of the starch, and the resultant material is hydrolyzed to yield a product with a molecular weight suitable for use as a plasma volume expander and erythrocyte sedimenting agent. The molar substitution is approximay 0.75 which means hetastarch has an average of approximay 75 hydroxyethyl groups for every 100 glucose units.

The weight average molecular weight is approximay 670,000 with a range of 550,000 to 800,000 and with at least 80% of the polymers falling within the range of 20,000 to 2,500,000. Hydroxyethyl groups are attached by ether linkage primarily at C-2 of the glucose unit and to a lesser extent at C-3 and C-6. The polymer resembles glycogen, and the polymerized D-glucose units are joined primarily by α-1,4 linkages with occasional α-1,6 branching linkages. The degree of branching is approximay 1:20 which means that there is one 1-6 branch for every 20 glucose monomer units.
Hospira 羟乙基淀粉HES

The chemical name for hetastarch is hydroxyethyl starch.

Amylopectin derivative in which R2, R3, and R6 are H or CH2CH2OH, or R6 is a branching point in

Hetastarch is an artificial colloid pharmacologically classified as a plasma volume expander; 0.9%

6% Hetastarch in 0.9% Sodium Chloride Injection is a clear, pale yellow to amber solution. Exposure to prolonged adverse storage conditions may result in a change to a turbid deep brown or the formation of a crystalline precipitate. Do not use the solution if these conditions are evident.

The flexible plastic container is fabricated from a specially formulated polyvinylchloride. Water

Solutions in contact with the plastic container may leach out certain chemical components from

Exposure to temperatures above 25°C/77°F during transport and storage will lead to minor losses

HOW SUPPLIED/STORAGE AND HANDLING

6% Hetastarch in 0.9% Sodium Chloride Injection is supplied sterile and nonpyrogenic in 500 mL

Exposure of pharmaceutical products to heat should be minimized. Avoid excessive heat. Protect

Store at 20 to 25°C (68 to 77°F). [See USP Controlled Room Temperature.]