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Drugs > Normal Saline > Flashcards

Normal Saline Flashcards

1
Q

Normal Saline - what’s in the parenthesis

A

0.9% Solution Sodium Chloride, NS

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2
Q

Class

A

Electrolyte/isotonic crystalloid

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3
Q

Action

A
  • Electrolyte solution that is osmotically equivalent to blood
    • Increase circulating volume of vascular system (2/3 of infused volume leaves vascular space within 1 hour)
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4
Q

Indications

Definitive Therapy:

A
  • Immediate or anticipated immediate need for administration of a fluid bolus or medications
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5
Q

Indications

Abdominal Discomfort - GI/GU (non-traumatic):

A

Adult and PEDS: suspected volume depletion

Adult: symptomatic suspected AAA to maintain BP at 80

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6
Q

Indications

Anaphylaxis:

A

Adult: for BP < 90

PEDS: to maintain adequate perfusion

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7
Q

Indications

Altered Neuro Function

A

Adult: CVA to maintain BP ≥ 120

Adult: Hyperglycemia

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8
Q

Indications

Burns:

A

Adult: with ≥20% BSA partial thickness or ≥ 5% BSA full thickness

PEDS: with ≥10% BSA partial thickness or ≥ 5% BSA full thickness

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9
Q

Indications

Discomfort/Pain of suspected Cardiac Origin:

A
  • with associated shock
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10
Q

Indications

Dysrhythmias:

A

Adult: see protocol

PEDS: see protocol

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11
Q

Indications

Environmental Exposure

A

Adult: heat exhaustion

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12
Q

Indications

Overdose:

A

Adult: ? Stimulant intoxication with excited delirium

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13
Q

Indications

Shock:

A

Adult: see protocol

PEDS: see protocol

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14
Q

Indications

Trauma:

A

Adults and PEDS: crush injury with extended compression ≥2 hrs

Adults: To maintain BP at 80

PEDS: to maintain adequate perfusion

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15
Q

Indications

Sepsis:

A

Adult: see protocol

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16
Q

Indications

Respiratory Distress:

A

Adult and PEDS: with croup-like cough via Nebulizer

17
Q

Contraindications

A

Rales (exception of sepsis)

18
Q

Side effects

A

None

19
Q

Special Information: PACS

Packaging

A

0.9% NaCl 1000ml or 250ml

20
Q

Special Information: PACS

Administration

A
  • Dose for Pediatric patients are weight related (20ml/kg PDC)
  • Dose for burn patients are age related (500ml adults, 250ml 5-14 y/o, 150ml < 5y/o)
  • TKO is approximately
    - 5gtts/min with maxi-drip (10gtts = 1ml) tubing
    - 30gtts/min with mini-drip (60gtts = 1ml) tubing
21
Q

Special Information: PACS

Cautions and Considerations

A
  • Consider small bag (250ml) for patients with rales, significant HTN, and suspected intracranial bleed
  • Fluid blouses are at 500ml; a 250ml bolus is used in cardiogenic shock
  • IV for MTV is started en route
22
Q

Special Information: PACS

Special Info:

A

BP goals

- 80 systolic for trauma and Aortic Aneurysm 
- 120 systolic for stroke patients
- 90 systolic for all others

Drugs (20 decks)

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