Sodium Chloride

Question 1

Sodium Chloride 09% Class

Answer 1

Isotonic crystalloid solution

Question 2

Sodium Chloride 09% Description

Answer 2

Solution of sodium and chloride, also known as normal saline (NaCl)

Question 3

Sodium Chloride 09% Presentation

Answer 3

100ml, 500ml, 1000ml soft-pack for infusion

10ml Ampoules / PFS 10ml

Question 4

Sodium Chloride 09% Administration

Answer 4

Intravenous (IV) Infusion
Intravenous (IV) Flush
Intraosseous (IO)

Question 5

Sodium Chloride 09% Indications

Answer 5

IV/IO fluid for pre-hospital emergency care

Question 6

Sodium Chloride 09% Contraindications

Answer 6

KSAR

Question 7

Sodium Chloride 09% Dosage ADULT

Answer 7

KVO or medication flush in Cardiac Arrest

Crush Injury: 20ml/Kg

Hypothermia: 250ml (warmed to ≈ 40°C) Max 1000ml
# Neck of femur / Sepsis / Symptomatic Bradycardia / Tachycardia - torsades de pointes: 250ml Infusion
Post-resus care: 250ml, Maintain Sys BP >100mmHg or MAP >70mmHg 

Decompression Illness / Sepsis with poor perfusion: 500ml
Shock from blood loss: 500ml. rpt 250ml to maintain Sys BP of 90-100mmHg. GCS ≤8 Sys BP @ 120mmhg

Burns: >10% TBSA consider 500ml
>25% TBSA & 1 hr from injury to ED, 1000ml

Adrenal Insufficiency / Glycaemic Emergency / Heat related emergency / Sickle cell crisis: 1000ml
Anaphylaxis & Post Partum Haemorrhage: 1000ml (Rpt X 1)
Asystole / PEA: Consider 1L fluid challenge (rpt x1)

Suspension Trauma 2L IV (maintain Sys BP >90mmHg)

Question 8

Sodium Chloride 09% Dosage PAEDIATRIC

Answer 8

Glycaemic Emergency / Neonatal Resus / Sickle cell crisis: 10ml/Kg
Hypothermia: 10ml/Kg (40°C) (rpt x1)
Haemorrhagic Shock: 10ml/Kg (rpt PRN if signs of poor perfusion)

Anaphylaxis: 20ml/Kg (rpt x1)
Adrenal insufficiency / Crush Injury / Septic Shock / Suspension Trauma / Symptomatic Bradycardia: 20ml/Kg
Post-Resus Care: 20ml/Kg if persistent poor perfusion

Burns: >10% TBSA and/or >1 Hour from Injury to ED:
5 - 10 years - 250ml
>10 years - 500ml

Question 9

Sodium Chloride 09% Pharmacology

Answer 9

Isotonic crystalloid solution

Fluid replacement

Question 10

Sodium Chloride 09% Side Effects

Answer 10

Excessive volume replacement may lead to heart failure

Question 11

Sodium Chloride 09%Additional Info

Answer 11

NaCl is the IV/IO fluid of choice for pre-hospital emergency care.
For KVO use 500ml pack only