Normal saline Flashcards
NS Presentation
• Normal saline (NaCl 0.9%) in 1000ml soft plastic bag
• Normal saline (NaCl 0.9%) in 250ml soft plastic bag
• 10 ml plastic vial
.
NS
Use
• Fluid replacement (volume expansion) for the treatment of shock, fluid loss, and cardiac arrest..
NS
Type
sterile isotonic crystalloid solution.
NS
Dose
KVO
• 20 drops per minute (20 drops = 1ml)
Fluid Therapy for shock, DKA & Hyperosmolar Hyperglycaemic State[1])
Adult:
• 250ml boluses to a maximum total of 2000ml
• Small adult/elderly 250ml boluses up to maximum total of 1000ml
Paediatric:
• 10ml/kg over 5-10 minutes. Repeat once only
Cardiac Arrest
Adult / Paediatric:
• 20ml/kg bolus as a reversible cause of hypovolaemia
Newborn:
• 10ml/kg as a reversible cause of hypovolaemia
Post ROSC
Adult:
• 250ml boluses to a maximum total of 500ml with reassessment between each infusion
Paediatric:
• 10ml/kg, repeat once only with reassessment between each infusion (bolus max. 250ml)
Burns
Adult:
• 1 litre stat, followed by 1 litre over 1 hour for TBSA >25% (Max. 2 litres)
• 1 litre over 1 hour for TBSA 15%-25% and 30 minutes transport time (Max. 1 litre)
Paediatric:
• 10ml/kg over 1 hour for TBSA > 10% and 30 minutes transport time
Haemorrhage
Adult:
• Infuse 250ml boluses maximum total 2000ml with reassessment between each infusion
Paediatric:
• Hypotensive paediatric patients should receive IV fluids; 10ml/kg (max. 250ml bolus) reassessment between each bolus (4x infusions maximum) to a total infusion not exceeding 1000ml
.
NS
Actions
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NS
Contraindications
• Severe Pulmonary Oedema.
NS
Adverse effects
Hypervolemia.
NS
Precautions
• 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).
