Normal saline Flashcards
1
Q
Normal saline - Type
A
Isotonic crystalloid solution of 0.9% sodium chloride solution. Contains 151mMol sodium and 151mMol chloride per litre
2
Q
Normal saline - Presentations
A
500 or 1000ml or 0.9% sodium chloride solution
3
Q
Normal saline - Actions (3)
A
- Plasma volume expander
- Also expands interstitial fluid volume
- Plasma volume effect is only temporary as most of the saline moves out of the blood vessels quite quickly
4
Q
Normal saline - Uses (3)
A
- Initial replacement of fluid, in volume depleted or dehydrated pts (volume depletion may be due to loss of blood, plasma or fluid and electrolytes)
- Maintenance of hydration during prolonged pt contact time
- TKVO, as IV route for drugs
5
Q
Normal saline - Adverse effect
A
Fluid overload
6
Q
Normal saline - Doses
A
Adult - in general to maintain sBP >90mmHg - give 250ml boluses, reassess after each bolus - Haemorrhagic hypovolaemia - 250ml boluses, max 20ml/kg - aim sBP 80-90mmHg - Traumatic brain injury - aim for sBP >100mmHg, no limit on amount - Sepsis or anaphylaxis - 20ml/kg, as req - TKVO - 10 dpm Paediatric - 10ml/kg then reassess - Paediatric cardiac arrest - 20ml/kg - Sepsis and anaphylaxis - 20ml/kg - TKVO - 10 dpm