Normal Saline Flashcards
1
Q
Class
A
Electrolyte/ Isotonic crystalloid
2
Q
Action
A
- Electrolyte solution, which is osmotically equivalent to blood
- Increases the circulating volume of the vascular system (2/3 of infused volume leaves vascular space within 1 hour)
3
Q
Indications
A
Definitive Therapy -immediate or anticipated immediate need for administration of a fluid bolus or medications Abdominal Discomfort GI/GU (non traumatic) -ADULT/PEDS: suspected volume depletion -ADULT: symptomatic suspected AAA to maintain BP @ 80 Anaphylaxis -ADULT: for BP/= 70 + (2x age) Altered Neuro Function -ADULT: CVA to maintain BP >/= 120 -ADULT: Hyperglycemia Burns -ADULT -PEDS Discomfort/Pain of suspected cardiac origin -ADULT: with associated shock Dysrhythmia -ADULT/PEDS: see protocol Environmental Exposure -ADULT: heat exhaustion Overdose -ADULT: ?stimulant intoxication with excited delirium Shock -ADULT/PEDS: see protocol Trauma: -Crush injury with extended compression >/= 2 hours -ADULT: to maintain BP @ 80 -PEDS: to maintain BP >/= 70 + (2x age) Sepsis: -See protocol Respiratory Distress -ADULT/PEDS: with croup like cough via Nebulizer
4
Q
Contraindications
A
Rales (exception for sepsis)
5
Q
Side Effects
A
None
6
Q
Special Information
A
Concentration: (0.9% NaCl) 1000ml or 250ml
- BP Goals
- 80 Systolic in trauma and aortic aneurysm
- 120 Systolic in stroke patients
- 90 Systolic in all others - IV for MTV is started en route
- Small bag (250 ml) is used in patients with rales, significant HTN, and suspected intracranial bleed
- Fluid boluses are @ 500ml. A 250ml fluid bolus is used in cardiogenic shock. Reassess lung sounds to determine if fluid overload may be developing
- Doses for PEDS are weight related (20ml/kg PDC)
- Doses for BURN patients are AGE related: Adults- 500ml, 5 to 14- 250ml,
7
Q
Flow Rates
A
18 ga catheter delivers 80ml/min, wide-open (maxi tubing)
14 ga catheter delivers 160ml/min wide-open (maxi tubing)
TKO is approx.
5gtts/min with maxi-drip tubing (10gtts=1ml)
30gtts/min with micro-drip tubing (60gtts=1ml)
8
Q
Normal Saline
A
0.9% solution sodium chloride, NS