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1523 E MARCH LN, STE 200, STOCKTON, CA, 95210 PR0529829 <br /> April 26, 2022 Program: HMBP <br /> PHOTO#7 <br /> Label on a box of acid concentrate. <br /> r �a':. � .. yip.---.."ate. "-•—�"�-..-., <br /> Ire <br /> 4 <br /> Catalog No. <br /> OFD2251-3B 2.0 K , <br /> A'CON®RAT <br /> \R\C_O pS\ONS FUR USE Nominal IonicNominal Final - <br /> GRANUFw Dry Acid Concelm att.r,Indicated for use in patients Contribution to Dialysate <br /> undecgoing extracorporeal bicarbonate hemodialysis for acute Dialysate Composition <br /> and chmMc renal fadbre.GRANUFLO Dry Acid Concentrate is - --•- _-- - <br /> intended tobe used as one component in the preparation of SODIUM 100 mEq/L 137 mEq/L <br /> d\alysate\n athrea_stream proportioning hemodialysis machine POTASSIUM 2.0 mEq/L 2.0 mEq/L <br /> according to a physiclan s prescription. CALCIUM 2.5 mEq/L 2.5 mEq/L <br /> BED ter—H�MERTQ. MAGNESIUM 7.0 mEq/L 1.0 mEq/L <br /> For use ony w11hathrea-stream hemodialysis machine calibrated to ACETATE 8.0 mEq/L 8.0 mEq/L <br /> ptoporhon 1 part acldto 1.72 pans bicarbonate concentrate to 42.28 <br /> pmts wined water that meets ISO 13959 or RAMI RD62 water CHLORIDE 101.5 mEq/L 101.5 mEq/L <br /> q\'tty regwremems.Use only with 45X bicarbonate(W)concaTuares. DEXTROSE 100 mg/dl- 100 mg/dt. <br /> W AAHING BICARBONATE' WA 33 mEq/L <br /> • Fa,lure to\o\\ow these lnsnmctionstor Use mayreswtin patient 'Post Reaction Bicarbonate <br /> \niury or death. N i l CN I I Co <br /> Itlon t GRANUFLO Case <br /> check conductMdy and pH of 11na1 Itatysate prior to dialysis 15.8 kg NaCl,0.419 kg KCI.-1! kg-H(DAc)'. <br /> Ve tmaM and each Uma new concaMrate is supplied to the 0.286 kg MOCli�Hro,0.517 kg CaC1i2Hs0, <br /> madtirte.Use of a dwysate on lncorrecn—nducu—v or pH can 3.09 kg Dp-.,a .()(Net Wt.21.7 kg) <br /> nous\ni. Or do.".Retar to hemotlialysls achine pmEDTIDNS FOR MIXING <br /> utaMareYs tnMrvcttons to determine conduct ty and pH o1 GRANGFLD t be mized in Fresenius Dissolution <br /> t\nal d\lysate. Units with ISO 13959.—MI RD62 q,041 wale..Add <br /> ThX I n—s comains sodium tliacetate and yields 8 mEa/L of six cases of GRANUFLD to a 99 gallon Dissolution Unit <br /> +c�ta0e ltha tlnal pWysate.Followinp tligusion irom the dialysate or eight casnesss toa132 gallon Dissolution Unit. se <br /> dlaFy&s mambnne to Ma blood,acerata is metabolized t eacM1 bap(e)n Inis case.One case of <br /> pNatponnte.YJhIW lne acetate tram Me acid wncantrate will GRANUFLO produces 62.5IM (t6.5 plallrtna)of lioul0 <br /> ,wMbule to tfw wrvm blcamonaU leveli the serum bicarbonate nce 1 Refer to[M1e OlsspfuNon n'OParator's <br /> Wel of tna patlerN d tip a d ataN a e i ysrs Manual for dotal I sfrucgons <br /> r r�br,On Da1N� �neO Mne�nare ori Nsisrtca a oOYPoN P. <br /> O 'd' dtllumPfry�s nova�ct <br /> u-.doa bon�mrbwwta or c urg.p <br /> b« a can Iared calm S—In E Go or �t <br /> .t.�I,eyn.an,M1a.m.r F d ea�e <br /> w cam <br /> ounm!ungiilllmgnaiiunuu -- <br /> Pr"'. �' 31 IIIIIIIIIIII1111111111111111111111111 <br /> o a o g2 <br /> Robert Lopez, EHS Page 7 of 10 <br />