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16 Cards in this Set
- Front
- Back
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Normal Saline
Class |
Electrolyte/ Isotonic Crystalloid
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Normal Saline
Action |
Electrolyte solution is equivalent osmotically to blood
Increases the circulating volume in the vascular system 2/3 of infused volume leaves vascular space within 1 hour |
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Normal Saline
Indications 1 |
-Definitive therapy, or anticipated
-Shock Hypovolemia -?Intraabdominal catastrophe/?aortic aneurysm -Shock (normovolemic, anaphylactic, neurogenic) -Anaphylaxis Shock ?cardiac origin/septic Dysrhythmias |
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Normal Saline
Indications 2 |
Crush injury w/ extended entrapment >2 hours of extremity/torso
Burn Pts w/ >20% 2nd or >5% 3rd Respiratory distress w/ croup like cough Symptomatic? stimulant intoxication with sudden hypoventilation, 02 desat or Apnea |
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Normal Saline
Dosage/Route Definitive therapy/ anticipated |
ADULT AND PEDS:
IV SO; adjust PRN |
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Normal Saline
Dosage/Route -Shock Hypovolemia -?Intraabdominal catastrophe/?aortic aneurysm -Shock (normovolemic, anaphylactic, neurogenic) -Anaphylaxis |
ADULT:
IV 500 ml bolus MR to maintain BP 90 sys |
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Normal Saline
Dosage/Route Shock ?cardiac origin/septic Dysrhythmias |
ADULT:
IV Bolus to max 250 ml w/ clear lungs MR to maintain BP >90 PEDS: noncardiogenic IV/IO PDC MR to maintain BP >[70+(2x age)] |
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Normal Saline
Dosage/Route Crush injury with extended entrapment |
ADULT:
500 ml fluid bolus just prior to extremity release PEDS: IV PDC just prior to extremity release BHO |
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Normal Saline
Dosage/Route Burn Pts >20% 2nd / >5% 3rd |
ADULT:
>15 y/o 500 ml fluid bolus, then TKO PEDS: 5-14 y/o= 250 ml fluid bolus, then TKO <5 y/o= 150 ml fluid bolus, then TKO |
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Normal Saline
Dosage/Route Repiratory distress with croup like cough |
ADULT + PEDS:
5ml via nebulizer |
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Normal Saline
Dosage/Route Symptomatic ? stimulant intoxication with sudden hypoventilation, 02 desat, apnea |
ADULT:
500 ml fluid bolus MR BHO |
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Normal Saline
Contraindications |
Rales for fluid boluses
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Normal Saline
Side Effects |
NONE
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Normal Saline
Special Info 1 Conc: 1000ml/10gtts/ml --or-- Conc: 250ml/60gtts/ml |
1. Content of the 0.9% solution
-154meq NA/liter -154meq CL/liter 2. Be conservative in use of fluids with suspected head injury pt to minimize risk of developing cerebral edema. Judicious fluid use may be needed for hypotension associated with head injury to maintain cerebral perfusion CPP= MAP-ICP |
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Normal Saline
Special Info 2 Conc: 1000ml/10gtts/ml --or-- Conc: 250ml/60gtts/ml |
3.Check Bp and lung sounds to determine if fluid overload may be developing
4. Burn dose is age related so actual amounts are listed 5. Small bag (250ml) is always used for pts with rales |
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Normal Saline
Special Info 3 Conc: 1000ml/10gtts/ml --or-- Conc: 250ml/60gtts/ml |
6.Flow Rates
-18Ga = 80ml/min wide open w/ maxi tubing -14Ga= 160ml/min wide open w/ maxi tubing 7. TKO is approximately -5 gtts/min with maxi drip tubing (10 gtt tubing) -30 gtts/min with mini drip tubing (60 gtt tubing) |
