Is it possible to solder the ringer instead of stabbing it? Ringer's solution

Latin name: Ringer's solution
ATX code: B05BB01
Active substance: Calcium chloride,
potassium chloride and sodium chloride
Manufacturer: Kraspharma, Russia
Dispensing from the pharmacy: On prescription
Storage conditions: t from 15 to 25 C
Best before date: 2 years.

Ringer's solution is a drug that is used to restore electrolyte balance in cases of shock, as well as in case of large blood loss.

Indications for use

• Collapse Development
• State of shock
• When metabolic acidosis occurs that accompanies increased excretion body fluids
• In case of injury, frostbite or burns
• If there is an imbalance of electrolytes that occurs due to diarrhea, prolonged vomiting, poisoning, or the development of an intestinal infection
• During the detection of intestinal fistula and intestinal obstruction
• With the development of peritonitis
• When performing plasmaphoresis for medicinal purposes.

The drug can also be used for inhalation to eliminate signs of rhinitis.

Composition and release form

The solution (1000 ml) contains sodium chloride, calcium chloride and potassium chloride, their mass fraction in the medicine is 8.6 g; 0.33 g; 0.3 g respectively. Ringer's solution also contains:

• Sodium hydroxide
• Prepared water
• Hydrochloric acid.

The colorless injection solution is dispensed in polyethylene bottles of 250 ml and 500 ml; there are 10 bottles inside the pack. The drug is also sold in glass bottles of 200 ml and 400 ml, the packaging can hold 1, 15 or 28 fl.

Medicinal properties

The INN of the drug does not match trade name. Ringer's solution helps replenish excessive fluid loss, participates in the detoxification process, and helps normalize electrolyte balance. Quite quickly, but briefly, it increases the volume of blood circulating in the body due to its rapid release into the extravascular space.

Ringer's solution is capable of restoring blood volume for about 40 minutes; this must be taken into account during emergency medical care.

The detoxification effect of drugs manifests itself due to the rapid dilution and increase in the volume of circulating blood, as a result of which the concentration of toxic substances in the blood decreases.

Ringer's solution: complete instructions for use

Price: from 19 to 1038 rubles.

Ringer's solution is indicated for administration exclusively intravenously (a dropper is placed or infused as a stream). The medicine is dripped at a rate of 60-80 drops. in 1 min.

The selection of daily dosage for children and adults is carried out individually. Ringer solution is used to set up infusions after consultation with a doctor.

Dose for children – 5-10 ml per 1 kg of weight. The medicine should be administered to the child at a rate not exceeding 60 drops. in 1 min. At severe cases it is possible to increase the daily dose to 30 ml per 1 kg of weight.

For an adult, the dose is calculated as follows - 20 ml per 1 kg of body weight. The maximum dosage should not be more than 50 ml per 1 kg.

Duration therapeutic therapy depends on the nature of the disease, usually 3-5 days. Is it possible to carry out further treatment, you should check with your doctor.

Included complex therapy for rhinitis, it is recommended to carry out inhalation procedures with a nebulizer; for one application you will need to take 5 ml of medicine. It is recommended to carry out 2 inhalations per day. The duration of treatment depends on the observed therapeutic effect.

During pregnancy and during breastfeeding The drug should not be used, since experience in its use is limited.

Contraindications and precautions

The use of Ringer solution for infusion is not allowed for:

• Diagnosing edema of the membranes of the brain, as well as lung tissue
• Treatment of people with chronic pathologies of the renal system and cardiovascular system
• Hyperchloremia, signs of acidosis, hypervolemia, as well as in the case of hypernatremia
• The presence of increased susceptibility to the components of the solution.

When carrying out long-term treatment with these drugs, the level of electrolytes in the blood should be monitored, as well as acid-base balance blood.

Do not use Ringer's solution after the expiration date, if the integrity of the packaging is damaged, if the injection solution becomes cloudy or if a precipitate appears or changes color.

Cross-drug interactions

Possible Na retention with combined use:

• Androgen-based products
• Corticotropin
• Anabolic drugs
• Ganglioblockers
• Estrogen-containing drugs
• Mineralocorticoids
• Drugs based on adrenal hormones
• Vasodilators.

If you drink cardiac glycosides at the same time, their toxic effects may increase.

If you take medications containing ACE inhibitors, diuretics, or potassium-based medications, signs of hyperkalemia may appear.

Side effects

The development of adverse symptoms is most often associated with an increase in prescribed doses and a change in the treatment regimen. Signs of allergies may appear, a decrease in plasma potassium levels, and the development of overhydration.

Overdose

There may be an increase in the frequency or severity of side symptoms. It is recommended to discontinue the medication and adjust the treatment regimen.

Analogs

Biosynthesis, Russia

Price from 20 to 45 rub.

Acesol, one of the analogues of Ringer's solution, is a plasma-substituting drug that exhibits antiplatelet and diuretic effects and helps eliminate intoxication. The main components are sodium and potassium chloride, sodium acetate. Produced in the form of an injection solution.

Pros:

• Low price (compared to other analogues of Ringer's solution)
• Prevents the development of metabolic acidosis
• Used to dehydrate the body.

Minuses:

• Contraindicated in chronic pathologies kidney
• May provoke the development of tachycardia, swelling
• Available only by prescription.

Rehydration and detoxification drug for parenteral use

Active substance

Release form, composition and packaging

Solution for infusion transparent, colorless.

Excipients: water for injection.

Theoretical osmolarity 309 mOsm/L

200 ml - glass bottles (1) - cardboard packs.
200 ml - glass bottles (15) - cardboard boxes.
200 ml - glass bottles (28) - cardboard boxes.
400 ml - glass bottles (1) - cardboard packs.
400 ml - glass bottles (15) - cardboard boxes.

pharmachologic effect

A rehydrating agent, it has a detoxifying effect, restores the water and electrolyte composition of the blood. When used as a means of replenishing the volume of circulating blood, due to the rapid exit from the bloodstream into the extravasal space, the effect lasts for only 30-40 minutes (and therefore the solution is suitable only for short-term replenishment of the volume of circulating blood).

Indications

Thermal injury acute blood loss; dehydration; intestinal fistula; spicy intestinal infections(severe course, inability to take oral rehydrating agents); therapeutic plasmapheresis; correction of water and salt balance for acute diffuse peritonitis and intestinal obstruction.

Contraindications

Hypersensitivity, hypernatremia, hyperchloremia, acidosis, severe chronic failure, cerebral edema, pulmonary edema, chronic renal failure, concomitant therapy with glucocorticosteroids.

Dosage

IV drip, at a speed of 60-80 drops/min, or stream. Daily dose for adults - 5-20 ml/kg, if necessary, can be increased to 30-50 ml/kg. The daily dose for children is 5-10 ml/kg, the rate of administration is 30-60 drops/min, in case of shock, 20-30 ml/kg is initially administered. The course of treatment is 3-5 days. During therapeutic plasmapheresis, it is administered in a volume 2 times greater than the volume removed (1.2-2.4 l), in case of severe hypovolemia - in combination with colloid solutions. The maximum volume of injected solution is 3 l/day.

Side effects

Overhydration, hypokalemia, allergic reactions.

Overdose

In case of overdose, an imbalance of water and electrolytes may occur (hypervolemia, hypernatremia, hyperkalemia, hypercalcemia, hyperchloremia) and acid-base balance. In case of overdose, in most cases, it is enough to interrupt the administration.

special instructions

In the case of rapid administration of a large volume, it is necessary to monitor the acid-base status and electrolyte concentration. A change in blood pH leads to a redistribution of K+ (a decrease in pH leads to an increase in the content of K+ ions in the blood serum). Freezing the drug, provided the container remains sealed, is not a contraindication to the use of the drug. If the contents of the container become cloudy, do not use. When combining with other drugs, it is necessary to visually monitor compatibility.

The ability to influence the reaction rate when driving a vehicle or working with other mechanisms. Information is absent.

Waiting for the birth of a child is a wonderful time, which for a number of reasons can be darkened feeling unwell and health problems of the expectant mother. Infusions are often used to correct conditions that are dangerous for a pregnant woman and her child. Below we will talk about which droppers and in what cases are most often prescribed to pregnant women.

Droppers for toxicosis during pregnancy

Unpleasant, but seemingly harmless, the notorious early toxicosis of pregnant women is not so harmless. Moderate to severe severity of this condition is characterized by nausea and vomiting 5-20 times a day. Consequence frequent vomiting is dehydration, metabolic disorders, decreased blood pressure, constipation. A pregnant woman can lose up to 10 percent of her original body weight. The lack of treatment for pronounced early toxicosis leads to a lack of nutrients supplied to the embryo, which is especially bad in the early stages of pregnancy, when the organs of the unborn child are formed.

Droppers for uterine tone during pregnancy

It is worth noting that abroad the phrase “hypertonicity of the uterus” means a rare and dangerous complication in childbirth. There is nothing terrible about uterine hypertonicity in the meaning that domestic gynecologists put into this diagnosis. Uterus - muscular organ, which by definition must be in good shape, otherwise pregnancy is impossible. Pressure from an abdominal ultrasound sensor and active fetal movement can provoke an increase in uterine tone. There is no need to correct the tone detected on ultrasound or expressed in slight stretching of the abdomen.

Obstetricians in the post-Soviet space have a different view of uterine tone. They often offer pregnancy-preserving therapy, including infusions.

Droppers when there is a threat to the health of the fetus and the risk of miscarriage

Detachment of the ovum, bleeding, problems with blood flow that began earlier due date contractions - all this can lead to very disastrous consequences and requires medical intervention.

Droppers for late toxicosis of pregnant women

Preeclampsia - dangerous to life and health expectant mother and fetal condition that occurs in the second half of pregnancy. It is observed in every sixth pregnant woman. Typical symptoms gestosis is swelling, including hidden edema, manifested as severe weight gain, high blood pressure and the appearance of protein in the urine.

What drips are prescribed for pregnant women

Glucose during pregnancy in a dropper

Pharmachologic effect:

• Detoxifying.
• Hydrating.

Indications for infusion:

• Acute lack of fluid in the body.
• Receiving nutrition through infusions.

Glucose in the form of a dropper is safe in early pregnancy. Glucose infusions are often prescribed to expectant mothers as part of therapy aimed at getting rid of early toxicosis.

Contraindications:

• Dehydration with salt deficiency.

Sodium chloride dropper - what for during pregnancy

Pharmachologic effect:

• Detoxifying.

Indications for infusion:

• Quickly replenish the volume of lost blood.
• Restoration of water-salt balance.
• Treatment of infectious or toxic poisoning.
• Joint infusions with other drugs.

Prescription during pregnancy:

Sodium chloride droppers during pregnancy in obstetrics and gynecology are used to alleviate the condition of a woman with moderate and severe toxicosis, to reduce blood pressure during childbirth, during anesthesia or when gestosis occurs, to combat swelling.

Contraindications:

• Increased concentrations of sodium and chlorine in plasma.
• Reduced plasma potassium concentration.
• Decrease in body pH.
• Edema of the lungs and brain and conditions that can cause swelling of these organs.
• Acute left ventricular failure.
• Concomitant therapy with GC in large doses.

Ringer IV during pregnancy - what is it for?

Pharmachologic effect:

• Detoxifying.

Indications for infusion:

• Rapid replenishment of blood volume for a short period of time.
• Correction of water and electrolyte balance.

Use during pregnancy:

Ringer's droppers are prescribed for severe early toxicosis of pregnant women. The need to use the drug for pregnant women is determined by the doctor after assessing the risk/benefit ratio.

Contraindications:

• Edema of the lungs or brain.
• Heart failure.
• Increased acidity of the body.
• Increased levels of sodium or chlorine in the plasma.
• Lactation.

Magnesia during pregnancy in a dropper - what is it for?

Pharmachologic effect:

• Hypotensive.
• Anticonvulsant.
• Antispasmodic.
• Sedative.
• Laxative.
• Choleretic.

Indications for infusion:

• Excessive increase in blood pressure.
• Convulsive syndrome.
• A component of therapy aimed at relieving epistatus.
• Late toxicosis of pregnant women.

Use during pregnancy:

• When taken orally, magnesium sulfate has only a laxative effect. The exception is Magne B6 or Magnelis.
• During pregnancy, an IV is preferable to injections, because the latter are extremely painful. With infusion, discomfort is significantly lower: a moderate burning sensation is usually felt along the vein.
• During pregnancy, magnesium is prescribed through an IV for some unknown reason in the early stages. The drug does not help maintain pregnancy, since magnesium sulfate only acts on the uterus, which contracts during contractions.
• Magnesia has proven itself to be excellent during pregnancy in the form of droppers in the 3rd trimester. The drug is used to treat severe forms of gestosis, stop the onset ahead of schedule contractions, fighting swelling.
• Short-term therapy with magnesium during pregnancy in droppers is safe for the fetus, which, unfortunately, cannot be said about mothers. Weakness, drowsiness, anxiety, sweating, dizziness, decreased blood pressure are frequent companions of magnesium sulfate therapy.

Contraindications:

• Individual intolerance.
• Atrioventricular block.
• Depression of the respiratory center.
• Conditions characterized by calcium deficiency.

Papaverine dropper during pregnancy

Pharmachologic effect:

• Antispasmodic.
• Hypotensive.

Indications for infusion:

• Endarteritis.
• Angina pectoris.
• Spasm of cerebral vessels.
• Renal colic.
• Spastic colitis.
• Pylorospasm.
• Cholecystitis.

Papaverine is popular among gynecologists in the CIS countries. It is often prescribed for removal increased tone uterus. Papaverine is not used in obstetrics in Europe and America.

At the moment, there is no convincing evidence of the effectiveness of the drug.

Contraindications:

• Atrioventricular block.
• Safety of use for pregnant and lactating women has not been established. There is evidence that papaverine can provoke uterine bleeding, so it should be used with caution, and if there is a detachment of the ovum, this drug should be abandoned altogether.
• Smoking. It reduces the vasodilatory effect of Papaverine.

Ginipral during pregnancy - why droppers are prescribed

Pharmachologic effect:

• Tocolytic.

Indications for infusion:

• High risk of development premature birth.

Use during pregnancy:

Ginipral in a dropper during pregnancy can be prescribed as early as the second trimester of pregnancy. The drug suppresses contractions, helps relax the uterine muscles and prolongs the pregnancy period.

Contraindications:

• Lactation.
• First trimester of pregnancy.
• Thyrotoxicosis.
• Tendency to allergies.
• Heart diseases vascular system, including ischemic disease hearts.
• High blood pressure.
• Severe liver and kidney diseases.
• Angle-closure glaucoma.
• Intrauterine infections uterine bleeding, placental abruption.

Tranexam dropper during pregnancy

Pharmachologic effect:

• Antiallergic.
• Anti-inflammatory.
• Hemostatic.
• Antifibrinolytic.

Indications for infusion:

• Surgical procedures for sepsis, pancreatic necrosis, peritonitis.
• Shock caused by various reasons.
• Bleeding or the risk of bleeding.
• Bladder surgeries.
• Tranexam is also prescribed for allergic diseases, hereditary angioedema and inflammatory diseases, but in these cases oral administration of the drug is sufficient.

Use during pregnancy:

Tranexam is prescribed for bleeding during pregnancy and chorionic detachment. Indications for infusion are also bleeding in postpartum period, manual separation of membranes.

Contraindications:

• Individual intolerance.
• Subarachnoid hemorrhage.
• Use together with hypertensive drugs, blood products, diazepam, dipyridamole, tetracyclines, penicillin-containing solutions, urokinase.

Trental/Pentoxifylline during pregnancy in a dropper - what is it for?

Pharmachologic effect:

• Vasodilator.
• Improves microcirculation.
• Angioprotective.
• Antiaggregation.

Indications for infusion:

• Problems with peripheral circulation.
• Discirculatory and atherosclerotic vasopathy.
• Hypertensive neuropathy.
• Trophic tissue damage.
• Ischemic and post-stroke conditions.
• Impaired blood circulation in the vessels of the brain and spinal cord.
• Otosclerosis.
• Problems with blood supply to the choroid and retina.
• Vascular pathologies inner ear leading to degenerative changes.

The main reason for prescribing the drug to pregnant women is the correction of feto-placental insufficiency (FPI) - circulatory disorders in the mother-placenta-fetus system. With FPN, the fetus receives less nutrients and oxygen, which is fraught with deviations in its development or even death. To treat FPN, the doctor may also prescribe Pentoxifylline or Trental during pregnancy; droppers with these drugs are equally effective, since active substance Both medications are the same.

Pentoxifylline infusions can be administered intravenously and intra-arterially.

A study of Pentoxifylline on animals revealed a negative effect of the drug on offspring. No human trials have been conducted, but pregnancy is still included in the list of contraindications. Prescribing Pentoxifylline droppers for blood flow during pregnancy is strictly prohibited in the first trimester, when fetal organs are developing. For more later It is appropriate to use a medicine in cases where the expected benefit is higher than the possible harm.

Contraindications:

• Lactation.
• Pregnancy.
• Individual intolerance.
• Acute myocardial infarction.
• Bleeding.
• Extensive hemorrhage in the retina.

Eufillin dropper during pregnancy

Pharmachologic effect:

• Tocolytic.
• Antispasmodic.
• Diuretic.
• Bronchodilator.

Indications for infusion:

• Additional therapy for asmatic status.
• Ischemic stroke.
• Ephysema of the lungs.
• Edema syndrome of renal origin.

Use during pregnancy:

Eufillin - powerful tool, prescribed to pregnant women primarily for the purpose of getting rid of pathological edema. A study of the drug on animals revealed a negative effect on the fetus, so it is better to resort to Eufillin droppers for edema during pregnancy only in extreme cases. Breastfeeding is also not recommended during treatment with this drug.

Contraindications:

• Individual intolerance.
• Having problems with cardiovascular system: arrhythmias, myocardial pathology, heart failure, myocardial infarction, hypertension, pulmonary heart.
• Gastritis with high acidity.
• Ulcer of the stomach and duodenum.
• Epilepsy.
• Retinal hemorrhage.

Actovegin dropper during pregnancy

Actovegin is a drug produced from the blood of calves. According to the manufacturer, it is an angioprotector and antioxidant, has wide range use, but there is no convincing evidence of the effectiveness of the product. The drug is used in the CIS countries. Banned in the USA.

Pharmachologic effect:

• Metabolic.

Indications for infusion:

• Vascular diseases of the brain.
• Metabolic disorders of the brain.
• Diabetic polyneuropathy.
• Ischemic stroke.
• Peripheral vascular disorders.
• Radiation therapy.
• Wound healing.

Use during pregnancy:

Actovegin during pregnancy is prescribed to women with a history of miscarriages as pregnancy maintenance therapy, pregnant women, sick diabetes mellitus, if there is a threat of miscarriage, oxygen starvation in the fetus, low fetal body weight.

Contraindications:

• Lactation.
• During pregnancy, the drug should be used with caution.
• Heart failure, pulmonary edema, individual intolerance.

Piracetam dropper during pregnancy

Pharmachologic effect:

• Nootropic.

Indications for infusion:

• Diseases with symptoms of chronic cerebrovascular insufficiency.
• Brain injuries.
• Withdrawal syndrome.
• Neurotic and asthenoadynamic depressive states.

Use during pregnancy:

Piracetam is able to penetrate the blood-placental barrier. Studies have not been conducted to understand the effects of Piracetam on the fetus, so the drug is prescribed to pregnant women only in extreme cases. During experiments on animals, negative impact The drug was not found to affect pregnancy and offspring.

The effectiveness of the drug is questionable.

Contraindications:

• Individual intolerance.
• Pregnancy and lactation.
• Hemorrhagic stroke.
• Agitated depression.
• Severe renal failure.
• Huntington's disease.

Xanthinol dropper during pregnancy

Pharmachologic effect:

• Antiatherosclerotic.
• Antiaggregation.
• Vasodilator.

Indications for infusion:

• Cerebrovascular accident.
• Postoperative period after removal of brain tumors.
• Trophic lesions of the legs.
• Vascular diseases characterized by a decrease in their lumens.
• Simple and diabetic retinopathy.
• Meniere's syndrome.
• Dermatitis.

Use during pregnancy:

It is undesirable to use the drug in the second and third trimesters and is completely prohibited for use in the first trimester of pregnancy.

Contraindications:

• Heart failure stage 2-3.
• First trimester of pregnancy.
• Acute bleeding.
• Acute myocardial infarction.

Immunoglobulin dropper during pregnancy

Pharmachologic effect:

• Immunostimulating.

Indications for infusion:

• Reduced body resistance.
• Hypo- and agammaglobulinemia.
• Prevention of whooping cough, measles, hepatitis A, polio, meningococcal infection.

Use during pregnancy:

• Under common name"immunoglobulin" usually means normal human immunoglobulin. Pregnant and lactating women can take the drug only as prescribed by a doctor. special cases: real threat miscarriage or premature birth, the development of infections that can harm the health of the fetus and the pregnant woman.
• Allergic reactions may develop, including anaphylactic shock.
• Human anti-Rhesus immunoglobulin RhO (D) is used among Rh-negative pregnant women to prevent Rh conflict, but is introduced into the body through intramuscular injection.

Contraindications:

• A history of severe allergic reactions caused by the administration of blood products.

Conclusion

An IV during pregnancy is “heavy artillery” that can even save the lives of a pregnant woman and a child in her womb.

Self-medication is unacceptable for expectant mothers, and the prescription of IVs during pregnancy is no exception. What drugs can be used and which ones should be avoided? possible risks, dosage and duration of treatment - all this must be determined by the doctor.

Photo of the drug

Latin name: Ringer's solution

ATX code: B05BB01

Active substance: Calcium chloride + Potassium chloride + Sodium chloride

Manufacturer: Hemofarm (Serbia), Mosfarm, Biosintez, Sakhamedprom Gul, Medsintez Plant, Ozon Pharm, Eskom NPK, Kraspharma (Russia)

Description is valid on: 16.10.17

general characteristics:

Basic physicochemical characteristics : transparent, colorless and odorless liquid, salty taste. Theoretical osmolarity - 309 mOsmol/l;

Compound: 100 ml of solution contains sodium chloride 0.86 g, potassium chloride 0.03 g, calcium chloride 0.048 g;

excipients: water for injection.

Release form. Solution for infusion.

Pharmacotherapeutic group. Solutions for intravenous administration. Electrolytes.

ATS code B05B B01.

Pharmacological properties.

Pharmacodynamics. Ringer's solution normalizes the water-salt and acid-base balance and eliminates fluid deficiency in the human body, which develops during dehydration or due to the accumulation of extracellular fluid in areas of extensive burns and injuries, during organ operations abdominal cavity, with peritonitis. Ringer's solution improves the rheological properties of blood and tissue perfusion, increases the effectiveness of blood transfusion measures in case of massive blood loss and severe forms shock.

It also has a disinfecting effect due to a short-term increase in fluid volume, a decrease in the concentration of toxic products in the blood, and activation of diuresis.

Pharmacokinetics. It is quickly eliminated from the vascular system. The drug is retained in the vascular bed for 30-40 minutes and very quickly passes into the interstitial sector and intracellularly. After an hour, only about half of the injected solution remains in the vessels. Very quickly, salts and liquid begin to be excreted by the kidneys, increasing diuresis.

Indications for use. Iso- and hypotonic dehydration and metabolic acidosis as a result prolonged diarrhea, uncontrollable vomiting, with acute massive blood loss, with shock, extensive burns, with severe course postoperative period, poisonings of various etiologies.

Ringer's solution is also used externally to wash wounds.

Directions for use and doses. Ringer's solution is administered intravenously to adults at a rate of 4-10 mL/year in a volume of 50 ml to 3 liters. The drug is prescribed rectally for adults, 75-100 ml. Children under 6 years of age are prescribed at the rate of 5 ml/year in a volume of 50 ml to 500 ml. For children from 6 to 12 years of age, the dose of the drug is about half the dose for adults. For children over 12 years of age, the dose is the same as for adults.

Side effect. Using Ringer's solution in large quantities can lead to the development of chloride acidosis and overhydration.

Contraindications. Intravenous administration Ringer's solution is contraindicated in thrombophlebitis, conditions with increased coagulability blood, pronounced violation excretory function of the kidneys, with decompensated heart defects. The drug should not be administered in conditions where its administration can cause swelling of the brain and lungs, with hyperchloremia, hypernatremia, hyperhydration, metabolic alkalosis.

Overdose. With a significant overdose, phenomena of alkalosis and overhydration may be observed. In this case, the administration of the drug is stopped immediately. Symptomatic therapy is carried out.

Features of application. At long-term use, especially in large volumes, control the content of electrolytes in plasma, urine, and diuresis.

Interaction with others medicines . The drug cannot be mixed with phosphate and carbonate solutions. The drug can be used as a carrier solvent for other drugs.

Storage conditions. Store at a temperature of 0 to 25 ºС out of the reach of children.

Shelf life – 2 years.

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