Sodium Chloride 0.9%

Question 1

Sodium Chloride 0.9%
Drug Class/Presentation

Answer 1

Isotonic crystalloid solution
*Normal saline (NaCl 0.9%) in 1000 ml
soft plastic bag
*Normal saline (NaCl 0.9%) in 250 ml soft
plastic bag
*10 ml plastic vial
*Normal saline (NaCl 0.9%) sterile pre-
filled 5 ml flush syringe

Question 2

** Sodium Chloride 0.9%**
Indications

Answer 2

• Fluid replacement (volume expansion) for shock and fluid loss
• Cardiac arrest
• ROSC

Question 3

** Sodium Chloride 0.9%**
Contraindications

Answer 3

Severe Pulmonary Oedema

Question 4

** Sodium Chloride 0.9%**
TKVO
Dose

Answer 4

20 drops per minute (20 drops = 1ml)

Question 5

** Sodium Chloride 0.9%**
Fluid therapyfor shock, DKA,HHs
Dose

Answer 5

Adult:
* 250ml boluses to a total max 2000ml
* Small adult/elderly 250ml boluses up to a total max 1000ml

Question 6

** Sodium Chloride 0.9%**
Haemorrhage
Dose

Answer 6

Adult:

250ml boluses, total max dose 2000ml
Reassess between each infusion

Question 7

** Sodium Chloride 0.9%**
Cardiac Arrest
Dose

Answer 7

Adult / Paediatric:

20ml/kg bolus as a reversible cause of hypovolaemia

Newborn:

10ml/kg as a reversible cause of hypovolaemia

Question 8

** Sodium Chloride 0.9%**
Post ROSC
Dose

Answer 8

Manage hypotension in Post-ROSC patients if BP is slow to rise:

Adult: < 100mmHg

250ml boluses to a maximum total of 500ml with reassessment between each infusion

Paediatric: < 80mmHg

10ml/kg, repeat once only with reassessment between each infusion (max bolus 250ml)

Question 9

** Sodium Chloride 0.9%**
Burns
Dose

Answer 9

Apply modified Parkland Formula to patients that meet the following criteria:
Adults:

> 15% TBSA

Modified Parkland Formula:
2ml x %TBSA x weight of patient
50% of total amount over first 8 hours
50% of total amount over next 16 hours