Intravenous Crystalloid Solutions (Normal Saline)

Question 1

Saline Intro

Answer 1

A sterile isotonic crystalloid solution

Question 2

Saline Indications

Answer 2

Fluid replacement (volume expansion) for the treatment of shock, fluid loss, and cardiac arrest.

Question 3

Saline Contraindications

Answer 3

Severe Pulmonary Oedema

Question 4

Saline Precautions / Notes

Answer 4

• Adult patients with penetrating trauma, ectopic pregnancy or aortic aneurysm with hypotension and signs of impaired organ perfusion may benefit from permissive hypotension (systolic blood pressure of 70mmHg)
• Fluid Therapy for shock, DKA & Hyperosmolar Hyperglycaemic State: Initial fluid therapy is directed toward expansion of the intravascular, interstitial, and intercellular volume, all of which are reduced in hyperglycaemic crises and restoration of renal perfusion.

Question 5

Saline Special Considerations (Side Effects)

Answer 5

Hypervolemia