Sodium Chloride 0.9%

Question 1

Pharmacology and presentation of Sodium Chloride 0.9%?

Answer 1

10ml Polyamp; 500 and 1000ml Infusion Soft Pack

Sodium Chloride is an isotonic crystalloid that acts as a vehicle for many parenteral drugs and as an electrolyte replenisher for maintenance or replacement of fluid deficits.

Question 2

Indicators of Sodium Chloride 0.9%?

Answer 2

• A vehicle for delivery of IV/IO emergency medications
• Dilution and reconstitution of medications
• Inadequate or poor perfusion/shock.

Question 3

Contraindications of Sodium Chloride 0.9%?

Answer 3

• Known allergy.

Question 4

Cautions of Sodium Chloride 0.9%?

-PF HUH

Answer 4

• Patients with acute or history of heart failure
• Pre-existing renal failure
• Uncontrolled haemorrhage
• Fluid temperature and hypothermia in significant infusion.
• Haemodilution.

Question 5

Side Effects of Sodium Chloride 0.9%?

Answer 5

• Fluid overload
• Metabolic acidosis and secondary acute kidney injury.

Question 6

Dosing Regimes of Sodium Chloride 0.9%?

Answer 6

Inadequate or poor perfusion - Non Cardiac, Non-hypovolaemic
- Adults Suspected Sepsis = 20ml/kg IV/IO administered bolus, consult for further if required
- Paeds Suspected Sepsis = 10-20ml/kg IV/IO administered bolus, to a max dose of 20ml/kg consult for further if required

Inadequate or poor perfusion - Cardiogenic
- Adults & Paeds = 10ml/kg IV/IO, assess effect at 250ml, max dose 10ml/kg

Inadequate or poor perfusion - Hypovolaemia
- Adults & Paeds = 20ml/kg IV/IO, to a max dose 40ml/kg, consult for further

Question 7

Onset and duration of Sodium Chloride 0.9%?

Answer 7

• Onset = Immediate
• Duration = Variable