Normal Saline

Question 1

0.9% Sodium Chloride (Normal Saline)
Classification

Answer 1

Isotonic crystalloid solution

Question 2

0.9% Sodium Chloride (Normal Saline)
Mechanism of Action

Answer 2

Volume replacement, water and electrolytes

Question 3

0.9% Sodium Chloride (Normal Saline)
Onset of Action

Answer 3

Immediate

Question 4

0.9% Sodium Chloride (Normal Saline)
Peak Effects

Answer 4

Immediate

Question 5

0.9% Sodium Chloride (Normal Saline)
Duration of Effect

Answer 5

Varies by disease process or until renal clearance

Question 6

0.9% Sodium Chloride (Normal Saline)
Half-Life

Answer 6

N/A

Question 7

0.9% Sodium Chloride (Normal Saline)
Indications/Field Use

Answer 7

Dehydration secondary to heat-related emergency, shock/hypotension/hypovolemia, diabetic ketoacidosis, keep open IV

Question 8

0.9% Sodium Chloride (Normal Saline)
Contraindications

Answer 8

Pulmonary Edema, severe hypertension

Question 9

0.9% Sodium Chloride (Normal Saline)
Side effects/Adverse Reactions

Answer 9

May induce pulmonary edema if given to patient with hx of CHF

Question 10

0.9% Sodium Chloride (Normal Saline)
Adult Dose

Answer 10

200-500cc IV, IO, repeat until BP systolic >90mmHg

Question 11

0.9% Sodium Chloride (Normal Saline)
Pediatric Dose

Answer 11

20cc/kg IV, IO > 1 month
10cc/kg IV, IO < 1 month
Pedi Cardiogenic Shock 5-10cc/kg IV,IO

Question 12

0.9% Sodium Chloride (Normal Saline)
Precautions

Answer 12

Depletion of other electroyles when given in large volumes
Dilute oxygen carrying capacity in pts with severe bleeding
If hypotension persists after 200cc, consider alpha 1 agaonist infusion (i.e. Domamine)

Question 13

0.9% Sodium Chloride (Normal Saline)
Drug-drug interactions

Answer 13

Few in EMS