
Get the free Prolastin-C (Alpha-Proteinase Inhibitor Powder for Injection)
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Ara last NP (alphaproteinase inhibitor) Referral Form
Patient Preferred Clinic (select one): PATIENT
___PATIENT INFORMATION
DOB:Referral Status:New ReferralUpdated OrderPatient Name:Order RenewalPatient
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How to fill out prolastin-c alpha-proteinase inhibitor powder

How to fill out prolastin-c alpha-proteinase inhibitor powder
01
Wash your hands thoroughly before starting.
02
Open the package of Prolastin-C Alpha-Proteinase Inhibitor Powder.
03
Prepare a clean and dry workspace.
04
Remove the cap from the vial of powder.
05
Use a sterile syringe to withdraw the amount of diluent recommended by your healthcare provider.
06
Slowly inject the diluent into the vial containing the powder.
07
Gently swirl the vial to ensure the powder is completely dissolved.
08
Do not shake the vial vigorously as it may affect the effectiveness of the medication.
09
Inspect the solution for any particles or discoloration. Do not use if it appears cloudy or contains particles.
10
Attach a sterile filter needle to a new sterile syringe.
11
Slowly withdraw the reconstituted solution from the vial, filtering it through the sterile filter needle.
12
Discard the filter needle and attach an appropriate injection needle to the syringe.
13
Choose an injection site (such as the upper arm, thigh, or abdomen) and clean it with an alcohol pad.
14
Gently pinch the skin and insert the needle at a 45-degree angle.
15
Inject the solution slowly and steadily.
16
Carefully remove the needle and apply pressure to the injection site with a sterile cotton ball or gauze pad.
17
Dispose of all used needles, syringes, and other materials in a puncture-proof container.
18
Store any unused solution in the refrigerator according to the manufacturer's instructions.
19
Follow your healthcare provider's guidance on how often to administer Prolastin-C Alpha-Proteinase Inhibitor Powder.
Who needs prolastin-c alpha-proteinase inhibitor powder?
01
Prolastin-C Alpha-Proteinase Inhibitor Powder is typically prescribed for individuals with a genetic condition called Alpha-1 Antitrypsin Deficiency (AATD).
02
This condition affects the lungs and liver, causing a deficiency in the protein Alpha-1 Antitrypsin.
03
People with AATD may experience symptoms such as shortness of breath, wheezing, chronic cough, and liver problems.
04
Prolastin-C Alpha-Proteinase Inhibitor Powder helps to replace the missing or deficient protein, reducing the risk of lung damage and improving liver function.
05
Only individuals with a confirmed diagnosis of AATD should use Prolastin-C Alpha-Proteinase Inhibitor Powder, as it is specifically designed for this condition.
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What is prolastin-c alpha-proteinase inhibitor powder?
Prolastin-C alpha-proteinase inhibitor powder is a medication used to treat alpha-1 antitrypsin deficiency, a genetic disorder that can lead to lung and liver disease by providing a replacement for the deficient protein.
Who is required to file prolastin-c alpha-proteinase inhibitor powder?
Healthcare providers or institutions that prescribe or administer Prolastin-C are required to file the necessary documentation regarding its usage, as well as manufacturers for regulatory compliance.
How to fill out prolastin-c alpha-proteinase inhibitor powder?
To fill out prolastin-c alpha-proteinase inhibitor powder, one must follow the specific instructions provided by the manufacturer, including dosage, reconstitution, and administration guidelines, and ensure all required fields are accurately completed on the filing forms.
What is the purpose of prolastin-c alpha-proteinase inhibitor powder?
The purpose of prolastin-c alpha-proteinase inhibitor powder is to replace the missing or deficient alpha-1 antitrypsin protein, helping to prevent damage to the lungs and liver in patients with alpha-1 antitrypsin deficiency.
What information must be reported on prolastin-c alpha-proteinase inhibitor powder?
Information such as the patient's details, dosage administered, any side effects observed, and the batch number of the product must be reported on prolastin-c alpha-proteinase inhibitor powder.
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