Sodium Chloride 0.9% Flashcards
1
Q
Drug class
A
Isotonic crystalloid solution
2
Q
Pharmacology
A
Acts as a vehicle for many parenteral drugs & as an electrolyte replenisher for maintenance or replacement of fluid deficits
3
Q
Metabolism
A
100% bioavailability. Excess sodium predominantly excreted by the kidneys
4
Q
Indications
A
- Inadequate tissue perfusion/shock
- Hypovolaemia
- Signifcant burns (total body surface area >20% for adults & 10% for paeds)
- To dissolve & dilute drugs
- As a flush
5
Q
Contraindications
A
Nil
6
Q
Precautions
A
- Pts with acute and/or hx of HF
- Pre-existing renal failure
- Uncontrolled haemorrhage (unless associated with severe head injury)
7
Q
Side effects
A
Excessive administration will result in fluid overload
8
Q
Presentation
A
- 10ml amp
- 100ml viaflex container
- 500ml viaflex container
- 10ml BD PosiFlush
9
Q
Routes
Onset
Duration
A
IV / IV INF
Immediate
Variable
10
Q
Special notes
A
- Uncontrolled haemorrhage (without concurrent TBI) = provide minimum amount to maintain radial pulse
- Uncontrolled hypotension with concurrent TBI - minimum amount to maintain SBP 100-120
- Excessive admin in spinal cord inj may result in neurogenic pulmonary oedema
- Rapid inf in pts without fluid deficit, or without a underlying cardiac problem may = pulmonary oedema & congestive heart failure
- Gentle fluid challenge with suspected R) ventricular infarct & no signs of L) ventricular failure i.e pulmonary oedema
- Reassess every 250-500ml (adult) & 10ml/kg (paed)
- Burns = PHIFTEEN B formula
- BD PosiFlush = flushing vascular devices ONLY
11
Q
Adult dosages
A
• Inadequate tissue perfusion/shock
• Hypovolaemia
▪︎ IV INF - PRN
*reassess every 250ml-500ml
• Significant burns
▪︎IV INF - ml/hr = 15ml/hr x TBSA (nearest 10%)
*PHIFTEEN B
12
Q
Paediatric dosages
A
• Inadequate tissue perfusion
• Hypovolaemia
▪︎ CONSULT
- IV INF 10-20ml/kg, may he repeated twice
Total max dose 60ml/kg
• Significant burns (TBSA >10%)
▪︎CONSULT
