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Normal Saline (NS) (0.9 % NaCl)- by Katie Neal - Coggle Diagram
Normal Saline (NS) (0.9 % NaCl)- by Katie Neal
Assessment data
Medication history
Interactions with corticosteroids and corticotropin
Medical history
contraindications
renal impairment
edema with sodium retention
pulmonary edema
hypernatremia
hypochloremia
congestive heart failure
Helps with IV site selection
Fluid volume and electrolyte status
Assess lab values
Measure urine specific gravity
Intake and output
Vital signs
Assess skin turgor on the glabella or under the clavicle
tenting suggests dehydration
Check IV equipment
Dietary history
All foods consumed in past 24 hours
Specific dietary habits
Nursing Care
monitor for side effects
tachycardia
fever
rash
joint pain
shortness of breath
injection site swelling, redness, and/or infection
Administration
Intraveneously
Monitor infusion rate
Dose depends on the situation
monitor lab values
fluid balance
electrolyte concentrations
Sodium
chloride
potassium
acid-base balance
Client Education
discuss side effects
How to prevent volume deficits in the future
Stay hydrated
Excessive perspiration can exacerbate volume deficits
High risk individuals should monitor serum electrolyte levels
Indications
Fluid and electrolyte replenishment
ECF replacement
doesn't enter ICF, so expands ECF
May be due to blood loss, severe vomiting
Replaces large sodium losses such as from major burns or trauma
Priming solution for hemodialysis procedures
used as a flush to clean out IV catheter
prevents blockage
removes medicine left in catheter area after IV infusion
Normal saline is the only solution that can be administered with blood products
Overview
crystalloid isotonic IV solution
contains small particles that pass easily from blood stream to tissues
Isotonic: ECF and ICF have same osmolarity
0.9% sodium chloride dissolved in water
sterile water
sodium (154 mEq/L)
chloride (154 mEq/L)
Physiologically normal concentration of sodium chloride
osmolarity
308 mOsm/L