Normal Saline

Question 1

Presentation of Normal Saline

Answer 1

10ml polyamp

500ml/1000ml infusion soft pack

Question 2

Pharmacology of Normal Saline

Answer 2

Isotonic crytalloid solution

Composition

• Electrolytes sodium and chloride in a similar concentration to that of ECF
• Water

Action
-Transiently increases the volume of the intravascular compartment

Question 3

Metabolism of Normal Saline

Answer 3

Electrolytes
- Excreted by the kidneys

Water

• Excreted by the kidneys
• Distributed throughout total body water, mainly in the ECF compartment

Question 4

Normal Saline Indications

Answer 4

• As a replacement fluid in volume-depleted pts
• To expand intravascu;ar volume in the non-cardiac, non-hypovolaemic hypotensive pt e.g. anaphylaxis, burns, sepsis
• As a fluid challenge in unresponsive non-hypovolaemic hypotensive pts, other than LVF e.g. asthma, PEA
• Vehicle for diluting and intravenous administration of emergency drugs
• Fluid to keep vein open for IV administration of emergency drugs

Question 5

Normal Saline Contraindications

Answer 5

Nil of significance

Question 6

Normal Saline Precautions

Answer 6

Nil of significance

Question 7

Route of Admistration of Normal Saline

Answer 7

IV

Question 8

Side Effects of Normal Saline

Answer 8

Nil of significance

Question 9

Effects of Normal Saline

Answer 9

IV half life approximately 30-60min