Sodium chloride Flashcards
presentation
1000mls
mech
1:1 ratio of sodium and chloride ions, sodium and chloride are major electrolytes of the fluid compartment outside of cells (i.e., extracellular) — work together to control extracellular volume and blood pressure.
Sodium chloride IV solutions prevent shifts in cell volume and electrolyte imbalances, ensuring safe and effective rehydration, and utilised instead of just sterile water for the replacement of IV volume.
what is it
An isotonic solution is a solution that has the same osmolarity (solute concentration) as the fluid inside cells
indications
Patients that have signs of hypovolemic/shock/poor perfusion
cautions
congestive heart failure,
severe impairment of renal function (prevent fluid overload, electrolyte imbalances, metabolic acidosis, and hypertension, as the kidneys cannot efficiently excrete excess fluids and solutes)
liver cirrhosis ( increased risk of complications such as fluid overload, ascites, and hyponatremia)
Metabolic acidosis
75 + (generally more likely to have cardiac, renal, hepatic, and other diseases)
bleeding
hypothermic
admin for adults
1L
dosage for kids
20ml/kg over 30/60 minutes
burns admin
Administer 0.9% sodium chloride IV if the patient has signs of hypovolaemia, or the burn area is greater than 20%
TBI admin
if there are signs of hypovolaemia, or the systolic blood pressure is less than 120 mmHg in an adult, or less than the normal predicted systolic blood pressure in a child
sepsis admin
1-2 litres for an adult. 20-40 ml/kg for a child.
hyperthermia admin
HYPERTHERMIA: if not responding to initial treatment for moderate, immediately for severe
adverse effects
APO
Hypothermia
Dilutional coagulopathy
Acidosis
Tissue edema; limb and abdominal compartment syndromes
Electrolyte abnormalities
Extravasation
Air embolism
Infection
onset and duration
Onset
10 mins ish for the body to respond
Duration
Depends on the amount of boluses/rate of infusion ect, usually peaks within an hour after boluses
