3% Hypertonic Flashcards
1
Q
Class
A
Osmotic Agent
2
Q
Supplied
A
3% Sodium Chloride in 500 ml bag.
3
Q
Adult Dose
A
250 ml bolus over 15 minutes, may have to bolus quicker in some clinical situations.
4
Q
Pediatric Dose
A
Contact medical control.
5
Q
Action
A
Creates a osmotic gradient to decrease intracranial edema.
6
Q
Indication
A
Evidence of cerebral herniation in patients with increase ICP: unconscious patient with unilateral pupillary dilation and or posturing.
Increased ICP as a result of TBI, intracranial bleeding or ischemic stroke.
Contact medical control before administering.
7
Q
Considerations
A
Use largest bore IV available. Label bag to indicate hyper-tonic solution. Watch for extravasation.
8
Q
Side effects
A
Thrombophlebitis. Electrolyte disturbances. Acid-base disturbances. May induce CHF exacerbation.
