0.9% Sodium Chloride Solution (Normal Saline)

Question 1

0.9NS - Class

Answer 1

Isotonic Crystalloid Solution

Question 2

0.9NS - Actions

Answer 2

• Increases circulating volume

* Electrolyte solution which is osomotically equivalent to blood

Question 3

0.9NS - Indications

Answer 3

• Fluid volume replacement
• Life-line for administration of medications
• Dilution of IV drip medications

Question 4

0.9NS - Dosage/Route

Answer 4

IV drip - TKO/Wide Open/fluid challenge/calculated drip rate/piggyback drip

Question 5

0.9NS - Side Effects

Answer 5

None with normal use

Question 6

0.9NS - Contraindications

Answer 6

None in emergency setting

Question 7

0.9NS - Special Information

Answer 7

• Contains: 154 mEq sodium/liter and 154 mEq chloride/liter
• Especially useful for heat related emergencies, hypovolemia, freshwater drowning & diabetic ketoacidosis
• Monitor pt to determine if fluid overload is developing

Question 8

0.9NS - Pediatric Note

Answer 8

• Refer to Pediatric Drug Guide/Current AHA PALS Guidelines/PEPP Guidelines
• 20 ml/kg initial bolus in shock: 20 ml/kg/hr maximum maintenance dosage
• Use of Volutrol or similar tubing is recommended