Sodium Chloride 0.9% Overview

Questions and Answers

What classification does Sodium Chloride 0.9% fall under?

Hypotonic solution

Isotonic solution (correct)

Hypertonic solution

None of the above

What are the actions of Sodium Chloride 0.9%?

Replacement of fluid and electrolytes lost from the intravascular and intracellular spaces

What is an indication for using Sodium Chloride 0.9%?

Initial fluid replacement for hypovolemia, intravenous access line for drug administration, infusion into saline locks to ensure patency

Sodium Chloride 0.9% has no contraindications.

False Signup and view all the answers

What are the adverse effects of Sodium Chloride 0.9%?

Metabolic: circulatory fluid volume overload Signup and view all the answers

What is the route of administration for Sodium Chloride 0.9%?

IV/IO Signup and view all the answers

What is the onset time for Sodium Chloride 0.9%?

Immediate Signup and view all the answers

What is the duration of Sodium Chloride 0.9% in the intravascular space?

Less than one hour Signup and view all the answers

What are some notes to consider when using Sodium Chloride 0.9%?

Infuse until signs of adequate perfusion; use caution with fluid administration in CHF/pulmonary edema patients; fluid overload can worsen patient condition; also used as a flush for certain medications. Signup and view all the answers

Study Notes

Sodium Chloride 0.9% (Normal Saline - NS)

Classification: An isotonic solution, maintaining balance in fluid osmolality with body fluids.
Actions: Replaces fluids and electrolytes lost from both intravascular and intracellular compartments, supporting hydration.
Indications:
- Utilized for initial fluid replacement in cases of hypovolemia.
- Serves as an intravenous access line for medication administration.
- Infused into saline locks to ensure they remain patent.
Contraindications: Use with caution in patients exhibiting rales, indicating possible fluid overload or heart issues.
Adverse Effects: May lead to metabolic circulatory fluid volume overload, particularly in sensitive populations.
Route of Administration: Administered via intravenous (IV) or intraosseous (IO) routes for rapid intervention.
Onset: Provides immediate effects upon administration, allowing for quick stabilization in emergencies.
Duration: The solution remains in the intravascular space for less than one hour, necessitating timely reassessment.
Notes:
- In fluid resuscitation, continue infusing until signs of adequate perfusion are observed.
- Exercise caution with fluid administration in patients with congestive heart failure (CHF) or pulmonary edema, as it can exacerbate their condition.
- Also used as a flush for specific intravenous medications, including IV adenosine, to ensure compatibility and maintain line patency.

Description

This quiz covers the key aspects of Sodium Chloride 0.9% (Normal Saline), including its classification as an isotonic solution, indications for use, potential contraindications, and adverse effects. Perfect for healthcare professionals wanting to enhance their understanding of this commonly used fluid replacement therapy.