0.9% Sodium Chloride

Question 1

Class of NACL

Answer 1

Isotonic crystalloid solution

Question 2

MOA of NACL

Answer 2

Normal saline replaces water & electrolytes

Question 3

Indications of NACL

Answer 3

Heat Related problems (heatstroke & heat exhaustion), freshwater drowning, hypovolemia, DKA, KVO.

Question 4

Contraindications of NACL

Answer 4

The use of NACL should not be considered in pts w/heart failure because circulatory overload can be easily induced.

Question 5

Adverse reactions of NACL

Answer 5

Rare in therapeutic dosages.

Question 6

Drug interactions of NACL

Answer 6

Few in emergency setting

Question 7

Dosage of NACL

Answer 7

Pt condition will dictate rate of adm. Many situations, such as severe heatstroke, DKA, & freshwater drowning will require rapid adm. Other instances will require more moderate dosing.

Neonates: fluid bolus: 10mg/kg IV given over 5-10 mins. Multiple bolus’ may be given if pt remains hypovolemic, may aide on improved perfusion & clearance of acid.

Question 8

Duration of action of NACL

Answer 8

Short-term therapy