TYPE OF SOLUTION Plain Normal Saline Solution

CLASSIFI CATION Isotonic

CONTENT

MECHANISM OF ACTION Normal saline solution has an osmolality of 308 mOsm/L. Because the osmolality is entirely contributed by electrolytes, the solution remains within the ECF, does not cause red blood cells to shrink or swell. Isotonic fluids expand the ECF volume.

INDICATIONS

CONTRAINDI CATIONS Heart failure pulmonary edema renal impairment sodium retention

HOW SUPPLIE D Parenteral

DOSE

The solution is 9 grams of sodium chloride (NaCl) dissolved in 1 liter of water. The mass of 1 milliliter of normal saline is 1.0046 grams at 22C. The molecular weight of sodium chloride is approximat ely 58 grams per mole, so 58 grams of sodium chloride equals 1

Replace Extracellular Fluid Hyponatremia Hypochloremia Water overload mild metabolic acidosis medication diluent IV irrigant compatible with blood.

1L at 20 gtts/ min

NURSING RESPONS I -BILITIES BEFORE: *Obtain history of the patients fluid and electrolyte status before therapy and reassess regularly. *Before giving the bottle, check for the correct patient to be administer ed. *Check for the correct fluid to be given.

mole. Since normal saline contains 9 grams of NaCl, the concentrati on is 9 grams per liter divided by 58 grams per mole, or 0.154 moles per liter. Since NaCl dissociates into two ions sodium and chloride 1 molar NaCl is 2 osmolar. Thus, NS contains 154 mEq/L of Na+ and Cl

DURING: *Upon inserting the chamber to another, make sure that it is inserted well. *Be alert of fluid overload *Check for the patients comfort AFTER: *Infuse the IV well to its prescribed rate *Check for the presence of bubbles in the IV

tube. *Evaluate patients knowledge of therapy