0.9% Sodium Chloride (Normal Saline) Flashcards
1
Q
NS Classification
A
Isotonic crystalloid solution
2
Q
NS Mechanism
A
Volume replacement, water and electrolytes
3
Q
NS Pharmacokinetics
A
Onset: Immediate
Peak: Immediate
Duration: varies by disease process or until renal clearance
Half Life: N/A
4
Q
NS Indications
A
- Dehydration secondary to heat-related emergency
- Shock/Hypotension/Hypovolemia
- Diabetic Ketoacidosis
- Keep open IV
5
Q
NS Contraindications
A
- Pulmonary edema
- Severe hypertension
6
Q
NS Side Effects/Adverse Reactions
A
May induce pulmonary edema if given to patient with history of CHF
7
Q
NS Dose
A
Adult:
200-250cc IV IO, until BP(systolic) > 90mmHg
Pedi:
20cc/kg IV IO for > 1mos; 10cc/kg IV IO for < 1mos
Cardiogenic shock: 5-10cc/kg IV IO
8
Q
NS Precautions
A
- May cause depletion of other electrolytes when administered in large volumes
- May dilute oxygen carrying capacity in patient with severe bleeding
- If hypotension persists after 2000cc, consider alpha 1 agonist infusion (i.e. Dopamine)
9
Q
NS Drug Interactions
A
Few in EMS
