Sodium Chloride 0.9% Flashcards
Sodium Chloride 0.9%
Drug Class
Isotonic crystalloid solution
Acts as a vehicle for many parenteral drugs and as an electrolyte replenisher
** Sodium Chloride 0.9%**
Onset
Immediate
** Sodium Chloride 0.9%**
Indications
- Fluid replacement (volume expansion) for shock and fluid loss
- Cardiac arrest
- ROSC
** Sodium Chloride 0.9%**
Contraindications
Severe Pulmonary Oedema
In what forms is Sodium Chloride 0.9% prepared?
- 1000 ml soft plastic bag
- 250 ml soft plastic bag
- 10 ml plastic vial
- Sterile pre-filled 5 ml flush syringe
** Sodium Chloride 0.9%**
TKVO
Dose
20 drops per minute (20 drops = 1ml)
** Sodium Chloride 0.9%**
Fluid therapyfor shock, DKA,HHs
Dose
Adult:
* 250ml boluses to a total max 2000ml
* Small adult/elderly 250ml boluses up to a total max 1000ml
Paediatric:
- 10ml/kg over 5-10 minutes. Repeat once only
** Sodium Chloride 0.9%**
Haemorrhage
Dose
Adult:
250ml boluses total max dose 2000ml
reassess between each infusion
Paediatric:
10ml/kg (max bolus dose 250ml ) reassess after each bolus (4x infusions maximum) total max does 1000ml
** Sodium Chloride 0.9%**
Cardiac Arrest
Dose
Adult / Paediatric:
20ml/kg bolus as a reversible cause of hypovolaemia
Newborn:
10ml/kg as a reversible cause of hypovolaemia
** Sodium Chloride 0.9%**
Post ROSC
Dose
Manage hypotension in Post-ROSC patients if BP is slow to rise:
Adult: < 100mmHg
250ml boluses to a maximum total of 500ml with reassessment between each infusion
Paediatric: < 80mmHg
10ml/kg, repeat once only with reassessment between each infusion (max bolus 250ml)
** Sodium Chloride 0.9%**
Burns
Dose
Apply modified Parkland Formula to patients that meet the following criteria:
Adults:
> 15% TBSA
Paediatrics:
- ≥ 18 months and > 10% TBSA OR
- < 18 months and > 8% TBSA
-
Modified Parkland Formula:
2ml x %TBSA x weight of patient
50% of total amount over first 8 hours
50% of total amount over next 16 hours
** Sodium Chloride 0.9%**
Side Effects
Fluid overload
