ExoticRx · exoticrx.com/drugs/hetastarch
Hextend, Hespan
Synthetic colloid maintaining intravascular oncotic pressure. Larger molecular weight than crystalloids providing longer intravascular duration (24 hours).
Coagulopathy risk (dilution and direct effect on vWF/Factor VIII). Acute kidney injury risk in critically ill. Max dose 20ml/kg/day in dogs. Not recommended in cats. Falling out of favor.
Each ExoticRx dose rule is graded by the strength of its primary evidence — see the editorial process.
Hetastarch CRI dose rule from the ExoticRx formulary. Verify against current literature before clinical use; CRI rates differ from bolus dosing and route, dilution, and monitoring matter. Sign in for the complete per-species CRI protocol set.
| Species | Route | Rate | Indication | Evidence | Source |
|---|---|---|---|---|---|
| Dog (Domestic) | IV | 5–20 ml/kgIV bolus or CRI | Hypovolemic shock, hypoalbuminemia | Moderate | Plumb's Veterinary Drug Handbook, 9th Ed |
Hypovolemic shock, hypoalbuminemia
Free-tier preview — dog and cat dosing. Pro and Student unlock all 1 species including reptiles, birds, pocket pets, livestock, and equine.
| Species | Route | Dose | Frequency | Evidence | Source |
|---|---|---|---|---|---|
| Dog (Domestic) | IV | 5–20 ml/kg | IV bolus or CRI | Moderate | Plumb's Veterinary Drug Handbook, 9th Ed |
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View PlansSource citations and evidence levels available on the live page. Reference only — verify against current literature before clinical use.